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Arizona rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.29 / $101.48 / $25,418.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.24 / $66.58 / $8,112.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.85 / $174.29 / $280.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $48.82 / $323.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.27 / $68.08 / $96.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.43 / $55.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74