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Rhode Island rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.73 / $54.73 / $54.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $24.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
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 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $18.86