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Michigan rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.21 / $575.32 / $1,795.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $575.21 / $675.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.76 / $1,218.04 / $2,320.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $568.99 / $568.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $563.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $690.38 / $1,600.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $575.21 / $670.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.95 / $642.22 / $642.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $592.53