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Michigan rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $14.77 / $45.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.77 / $17.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $31.91 / $59.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $14.60 / $14.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.63 / $19.63 / $19.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $14.34 / $14.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $21.51 / $40.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.55 / $17.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.68 / $16.23 / $16.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $17.04