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Michigan rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.85 / $232.51 / $347.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.85 / $238.46 / $247.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.01 / $520.08 / $990.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.66 / $94.87 / $123.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.40 / $238.46 / $269.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.51 / $348.76 / $900.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.85 / $238.46 / $309.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.60 / $199.68 / $312.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $265.45 / $305.27