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Michigan rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.68 / $163.68 / $163.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $163.68 / $165.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.90 / $161.90 / $161.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.81 / $161.90 / $218.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.30 / $103.30 / $103.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $127.14 / $127.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $152.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.18 / $158.91 / $158.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $163.68 / $238.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.59 / $158.91 / $190.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $126.45 / $148.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $174.81