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Michigan rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $524.81 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $831.76 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,380.38 / $1,659.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $524.81 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $549.54