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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
$489.78 / $870.96 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
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 / $489.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $588.84 / $1,202.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $501.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $549.54