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Illinois 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
$50.43 / $88.80 / $5,491.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.74 / $69.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $130.34 / $584.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $80.42 / $167.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $65.95 / $65.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $63.43