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Georgia rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $77.39 / $113.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.39 / $93.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $125.99 / $284.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $82.47 / $85.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $151.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $73.01 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.08 / $240.00 / $262.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $90.32