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Wyoming rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $17.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $28.58 / $28.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $23.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84