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Michigan rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.26 / $3.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.26 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.78 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.24 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.23 / $1.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.55 / $3.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.24 / $1.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.39 / $1.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.31