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Michigan rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $503.05 / $854.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $386.96 / $411.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.28 / $924.25 / $1,761.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.16 / $449.02 / $582.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $483.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.26 / $677.18 / $1,076.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $427.26 / $512.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.27 / $491.36 / $640.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $499.86