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Maine rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.55 / $179.55 / $193.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $93.50 / $93.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.89 / $94.01 / $245.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $63.22 / $76.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.55 / $179.55 / $193.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $93.50 / $193.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $77.39 / $116.09