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Kentucky rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $28.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $19.86 / $33.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $16.84 / $16.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $18.52 / $26.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.68 / $25.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $16.84 / $31.86
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 / $18.86