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Georgia rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $17.59 / $25.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.01 / $21.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $27.42 / $61.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $27.15 / $27.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $33.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $54.00 / $83.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $26.28