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Michigan rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.92 / $188.98 / $330.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $185.31 / $221.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $376.48 / $762.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.59 / $194.42 / $252.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $201.75 / $275.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $192.65 / $425.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $216.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $226.70 / $525.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $188.92 / $238.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.22 / $198.24 / $270.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $204.25 / $227.53