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Texas rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $752.21 / $1,083.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $501.71 / $682.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.42 / $515.42 / $515.42
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.68 / $2,483.40 / $2,483.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $710.34 / $731.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $496.74 / $900.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.74 / $717.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.52 / $496.74 / $895.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.07 / $556.35 / $556.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.97 / $494.97 / $670.60