go back

Indiana 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
$50.94 / $137.66 / $13,379.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $51.24 / $51.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $101.48 / $134.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $50.74 / $72.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $68.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $58.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $120.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $50.74 / $133.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $86.26