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Wyoming rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $549.54