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Indiana rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Facilitymedian $26 · 10th–90th $17–$490%20%10th90th$26Professionalmedian $17 · 10th–90th $17–$250%50%90th$17$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $40.74 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $33.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $26.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $34.67