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Arizona rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.81 / $154.78 / $232.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.15 / $93.50 / $184.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.34 / $267.54 / $440.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.43 / $74.80 / $492.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $77.39 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $101.99 / $121.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.27 / $85.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39