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Indiana rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $40.36 / $79.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.01 / $17.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $33.68 / $44.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $16.84 / $23.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $22.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $19.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $39.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $16.84 / $46.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.86 / $22.49