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Arizona rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.23 / $28.46 / $42.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $15.66 / $18.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $36.68 / $70.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $13.75 / $91.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $14.23 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $18.76 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.21 / $15.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23