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Michigan rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.78 / $59.16 / $184.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.78 / $69.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.16 / $122.34 / $233.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $57.15 / $57.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $76.80 / $76.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.14 / $56.10 / $56.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $73.95 / $164.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.78 / $67.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.77 / $64.51 / $66.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $59.52