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Michigan rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $11.75 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $8.91 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.82 / $3.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.17 / $5.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $10.72 / $48.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $6.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.47 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.47 / $7.08