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Michigan rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.85 / $2,076.92 / $6,351.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2,036.58 / $2,391.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.67 / $4,490.43 / $8,494.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.74 / $2,054.46 / $2,054.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.50 / $2,016.42 / $2,016.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,544.81 / $5,664.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,035.85 / $2,419.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,214.01 / $2,273.03 / $2,318.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,139.21