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Michigan rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.35 / $48.56 / $72.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.35 / $43.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $79.12 / $150.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $38.44 / $49.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $39.89 / $54.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.09 / $84.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $46.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $72.52 / $103.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.35 / $45.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $39.88 / $54.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.39 / $46.45