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Pennsylvania rates for HCPCS 90283

Immune globulin (IgIV), human, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $15.49 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $128.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $51.29 / $54.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $51.29 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $117.49