go back

Georgia rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

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
$15.17 / $15.17 / $17.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.73 / $17.32 / $18.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $16.96 / $22.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.62 / $30.61
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
$11.02 / $20.26 / $68.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.66 / $63.66 / $63.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $23.60 / $24.40