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Utah 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
$58.85 / $100.79 / $8,239.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.85 / $58.85 / $58.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.65 / $70.20 / $74.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $129.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $50.74 / $56.83