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Michigan rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.26 / $435.84 / $1,248.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.30 / $1,248.00 / $1,326.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.87 / $2,748.38 / $5,236.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $520.00 / $625.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.81 / $1,326.00 / $1,326.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.18 / $653.76 / $932.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.26 / $370.18 / $1,248.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.18 / $407.19 / $555.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,447.17 / $1,565.26