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Tennessee rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $100.45 / $164.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $93.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $87.56 / $87.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.82 / $375.85 / $375.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $86.68