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North Carolina rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $549.54 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $812.83 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $616.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89