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Michigan rates for HCPCS J1569

Injection, immune globulin, (Gammagard liquid), nonlyophilized, (e.g., liquid), 500 mg

Facilitymedian $95 · 10th–90th $48$7,4130%10%20%10th90th$95Professionalmedian $48 · 10th–90th $47$760%50%10th90th$48$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $134.90 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $48.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $104.71 / $10,000.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $74.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $56.23