go back

North Carolina 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
$52.61 / $8,694.78 / $23,353.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $61.02 / $9,154.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.34 / $79.03 / $102.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $42.27 / $53.77
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 / $115.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.19 / $60.38 / $124.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $35.14 / $35.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $78.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.85 / $100.00 / $253.70