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Michigan rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,748.03 / $3,770.66 / $11,693.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,748.03 / $4,403.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.83 / $7,984.60 / $15,214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,543.40 / $3,729.90 / $3,729.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.36 / $3,660.83 / $3,660.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $4,611.45 / $10,428.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,748.03 / $4,392.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,100.11 / $4,184.68 / $4,209.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,883.77