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Michigan rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $776.25 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $851.14 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,047.13 / $1,230.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $524.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $501.19