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Michigan rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.32 / $386.52 / $643.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $297.32 / $321.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.33 / $627.25 / $1,186.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $364.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $520.30 / $827.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $321.72 / $386.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $482.58 / $482.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $344.77 / $374.75