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Delaware 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
$50.74 / $1,367.43 / $8,684.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $117.57 / $117.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $76.11 / $112.82