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Missouri rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $91.20 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $93.33 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $102.33 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $91.20