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Rhode Island rates for HCPCS J1460

Injection Gamma Globulin Intramuscular 1 Cc (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.35 / $159.35 / $159.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $50.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $48.42 / $51.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $49.03 / $49.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $49.03 / $49.03