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Michigan rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $61,659.50 / $69,183.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,387.21 / $22,908.68 / $26,915.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $47,863.01 / $100,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,877.62 / $22,908.68 / $23,988.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $61,659.50 / $77,624.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,387.21 / $23,988.33 / $38,904.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $24,547.09 / $28,183.83