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Utah rates for HCPCS J1556

Inj, Imm Glob Bivigam, 500mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.77 / $89.77 / $170.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.77 / $89.77 / $89.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.64 / $106.69 / $116.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $77.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $77.39 / $196.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $86.68