go back

North Carolina rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $77.62 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $158.49 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $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 / $91.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $85.11 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $128.82 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $79.43 / $95.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19