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Michigan rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $112.54 / $347.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $112.54 / $112.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.09 / $255.97 / $484.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.25 / $117.11 / $117.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.80 / $119.58 / $119.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $140.68 / $309.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $124.27 / $149.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $184.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $124.38