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Arizona rates for HCPCS 90284

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $14.89 / $15.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.83 / $52.36 / $82.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $14.28 / $94.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $21.29 / $214.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.38 / $23.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.38 / $23.60