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Arizona rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.51 / $993.48 / $1,490.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.16 / $546.41 / $655.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.21 / $1,281.49 / $2,476.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.43 / $480.62 / $3,159.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.77 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $655.39 / $781.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.51 / $547.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74