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Wyoming 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
$50.43 / $50.43 / $18,128.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $50.43 / $50.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.85 / $115.12 / $115.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $47.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $71.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $56.83