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Michigan rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.16 / $84.15 / $262.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $81.98 / $98.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $171.86 / $327.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $80.28 / $80.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $78.79 / $78.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $118.20 / $234.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $81.16 / $94.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $93.16 / $93.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $88.26 / $96.14