go back

Arkansas rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $20.21 / $21.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $20.21 / $21.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $19.07 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $19.07 / $19.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $24.29