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Colorado rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $35.00 / $44.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.64 / $21.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.52 / $29.57 / $53.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $23.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $17.85 / $27.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $18.53 / $27.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84