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Arizona rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $31.62 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.38 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $46.77 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $33.11 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $23.44 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.98 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.38 / $17.38