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Ohio rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $167.94 / $240.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $78.16 / $184.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.93 / $132.72 / $222.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $130.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $131.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $104.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $73.01 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $113.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $113.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.03 / $96.73 / $112.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $98.13