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Michigan rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.44 / $199.57 / $609.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $199.57 / $229.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.09 / $422.60 / $805.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.54 / $197.41 / $197.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.76 / $234.53 / $543.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $195.44 / $232.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $205.58