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Oregon rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $94.85 / $154.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $78.16 / $184.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $108.44 / $154.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $83.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $169.75 / $201.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $110.67 / $166.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $82.03 / $96.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.26 / $96.59 / $160.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $81.56 / $145.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $83.96 / $95.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $182.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39