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Michigan rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.27 / $510.41 / $1,588.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $510.41 / $599.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.67 / $1,080.82 / $2,059.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.65 / $504.89 / $504.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $636.59 / $1,417.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $509.27 / $599.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $525.73