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Michigan rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.69 / $57.75 / $112.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $57.75 / $499.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.13 / $122.28 / $232.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.26 / $57.12 / $57.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.76 / $76.76 / $76.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $56.07 / $56.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $64.75 / $160.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $57.69 / $72.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $64.41 / $64.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.97 / $54.97 / $58.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $59.48