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Rhode Island 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
$164.91 / $5,176.93 / $5,677.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $52.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $50.43 / $97.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
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 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $56.83