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New Jersey rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $120.23 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $87.10 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $10,715.19 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $91.20