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Pennsylvania rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $180.81 / $234.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $78.16 / $184.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $83.96 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.31 / $80.31 / $83.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $77.39 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.04 / $131.88 / $234.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $78.16 / $234.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $77.39 / $77.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.48 / $70.48 / $81.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $70.48 / $81.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $86.68 / $112.22