go back

Vermont rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $853.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.35 / $562.35 / $562.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $562.28 / $937.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $562.28 / $937.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.90 / $556.35 / $586.15