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Rhode Island rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.41 / $1,614.41 / $1,614.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $516.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.70 / $496.51 / $524.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $556.35