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Kansas rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $27.74 / $77.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.19 / $27.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.89 / $18.53 / $19.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $17.41 / $17.41
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.03 / $20.58 / $26.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $17.59 / $24.14
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 / $16.84 / $26.94