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California rates for HCPCS 90284

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.65 / $16.51 / $21.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $15.68 / $29.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $100.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $113.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $214.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $21.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $24.52 / $32.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $18.38 / $34.06