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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
$489.78 / $1,174.90 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $954.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $588.84