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Maryland rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $496.51 / $496.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $665.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.50 / $496.50 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $632.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $511.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $564.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.97 / $494.97 / $494.97