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Michigan rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $18.12 / $56.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.35 / $21.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $36.71 / $69.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $17.14 / $17.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $23.05 / $23.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $16.84 / $16.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $25.26 / $50.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.35 / $20.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $19.36 / $20.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.86 / $20.01