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Michigan rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.02 / $41.02 / $127.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $41.02 / $48.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $86.85 / $165.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.57 / $40.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $41.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $51.28 / $114.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $41.02 / $47.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $45.80 / $45.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $42.26