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Michigan rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.74 / $341.56 / $510.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $258.64 / $281.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.49 / $558.53 / $1,064.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.86 / $271.35 / $352.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $301.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $459.80 / $731.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $262.74 / $320.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.02 / $273.92 / $373.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $285.08 / $317.58