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Michigan rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.58 / $1,120.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $5.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $8.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $9.69 / $18.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.62 / $5.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $8.72 / $14.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $5.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.79 / $6.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.95 / $5.69