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Michigan rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.76 / $886.92 / $2,663.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.07 / $886.92 / $1,086.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.51 / $1,618.51 / $1,618.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.45 / $1,271.59 / $1,523.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.65 / $1,552.11 / $2,375.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.57 / $1,308.77 / $1,570.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,388.60