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Ohio 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
$54.44 / $168.96 / $28,066.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $55.50 / $4,349.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.80 / $81.69 / $126.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $87.86
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $67.98 / $67.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $50.74 / $76.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.74 / $68.50
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 / $141.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.76 / $102.88 / $237.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $141.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.47 / $63.42 / $73.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $55.31 / $60.89