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Arizona rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Facilitymedian $52 · 10th–90th $13–$1000%10%10th90th$52Professionalmedian $15 · 10th–90th $15–$170%50%90th$15$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $54.95 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $29.51 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $23.99