go back

Michigan rates for HCPCS J1557

Gammaplex Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.34 / $65.59 / $200.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $65.59 / $75.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.98 / $138.88 / $264.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $64.88 / $64.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $63.68 / $63.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $95.52 / $179.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $64.34 / $76.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.10 / $71.84 / $73.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $71.31 / $76.42