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Michigan rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.81 / $105.05 / $252.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.79 / $94.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $90.25 / $90.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.76 / $172.28 / $328.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $83.70 / $108.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $93.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $141.41 / $224.85
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.79 / $102.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $82.73 / $112.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $87.94 / $97.97