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Pennsylvania rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $1,161.83 / $1,509.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $501.71 / $600.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.08 / $538.91 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.48 / $515.48 / $517.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.47 / $1,161.83 / $1,509.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $501.71 / $1,509.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $496.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.77 / $481.77 / $559.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.77 / $481.77 / $559.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $556.35 / $686.00