go back

Michigan rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.11 / $80.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.55 / $4.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $7.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $7.36 / $14.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.48 / $3.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.82 / $5.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.80 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $7.66 / $57.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.55 / $4.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.50 / $6.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.54 / $6.87