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Michigan rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.60 / $290.68 / $434.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $219.26 / $238.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.19 / $473.48 / $902.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.06 / $230.03 / $276.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $276.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $434.18 / $622.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $221.43 / $263.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.76 / $238.79 / $325.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $241.67 / $269.22