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Georgia rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $496.74 / $729.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.74 / $600.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $808.69 / $1,823.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $539.49 / $539.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $973.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.97 / $526.44 / $544.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $567.88