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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
$501.19 / $977.24 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,318.26 / $1,584.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $512.86 / $660.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $588.84