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Michigan rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $32.50 / $60.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $16.64 / $16.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $15.76 / $17.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.76 / $18.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $18.38 / $23.60