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Maryland rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $77.27 / $77.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $103.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.26 / $77.26 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $98.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $81.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $89.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $76.63 / $76.63