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Georgia 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 / $27,404.00 / $60,697.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $51.24 / $75.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $82.60 / $186.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $109.36 / $109.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $99.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $59.04 / $59.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $88.80