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Michigan rates for HCPCS J3397

Injection, vestronidase alfa-vjbk, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.74 / $260.74 / $813.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $260.74 / $260.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.08 / $587.79 / $1,120.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $274.58 / $274.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.73 / $277.02 / $277.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.74 / $325.92 / $725.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $279.52 / $335.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $431.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.60 / $271.60 / $288.17