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Michigan rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $79.70 / $248.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $79.70 / $93.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.90 / $168.79 / $321.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.91 / $78.84 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.18 / $77.39 / $77.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $95.50 / $221.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $79.58 / $92.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $88.89 / $88.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $86.68 / $92.87