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Vermont rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $512.86 / $549.54