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Pennsylvania rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $33.25 / $43.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.37 / $17.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.12 / $15.44 / $19.30
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $14.77 / $14.81
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.58 / $66.58 / $66.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $28.28 / $43.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.37 / $43.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $14.23 / $14.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.94 / $20.77