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Michigan rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $317.94 / $985.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $317.94 / $371.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.59 / $673.25 / $1,282.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.77 / $314.50 / $314.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.57 / $308.68 / $308.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $379.20 / $879.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $316.00 / $370.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.03 / $352.82 / $354.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $308.68 / $314.88