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North Carolina rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $20.39 / $27.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $15.79 / $23.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $28.70 / $35.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $14.29 / $18.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $28.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $20.04 / $30.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $13.79 / $13.79
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 / $24.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00