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Michigan rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $57.92 / $180.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $57.92 / $63.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.97 / $131.37 / $250.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.30 / $63.82 / $82.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $72.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $112.94 / $161.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $63.96 / $76.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $73.55 / $95.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $67.17 / $74.83