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Michigan rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $1,039.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $354.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.49 / $674.94 / $1,286.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.32 / $367.96 / $381.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $416.56 / $927.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $416.56 / $499.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $379.35