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Michigan rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.40 / $511.64 / $1,595.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $511.64 / $600.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.07 / $1,083.43 / $2,064.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.80 / $506.11 / $506.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $639.25 / $1,422.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $511.40 / $596.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.98 / $571.18 / $571.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $556.35 / $590.13