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Michigan rates for HCPCS J0224

Oxlumo SC SOLN 94.5 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.92 / $338.98 / $1,057.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $338.92 / $398.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.26 / $717.69 / $1,367.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.50 / $335.26 / $335.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $423.73 / $943.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $338.92 / $394.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $349.09