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Michigan rates for HCPCS J9298

Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $264.64 / $395.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $199.81 / $217.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.53 / $405.92 / $822.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.48 / $209.62 / $272.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $197.83 / $251.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.83 / $264.64 / $566.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $199.81 / $247.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.08 / $217.41 / $296.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.08 / $194.08 / $205.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $220.23 / $239.37