go back

Michigan rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.64 / $81.77 / $255.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $81.64 / $96.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.07 / $172.86 / $329.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $80.75 / $80.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $79.26 / $79.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $102.21 / $227.53
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $81.64 / $95.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.49 / $91.14 / $91.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $84.09