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Michigan rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $18.94 / $59.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.70 / $22.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $40.40 / $75.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $18.48 / $18.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $18.14 / $18.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $27.23 / $52.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.70 / $21.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $20.87 / $21.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.32 / $21.56