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Indiana rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.47 / $1,179.35 / $2,256.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $501.71 / $501.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $993.48 / $1,316.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.22 / $496.74 / $705.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $670.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $620.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.77 / $496.74 / $1,351.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $556.35 / $590.62