go back

Wyoming rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $77.27 / $77.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.27 / $77.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $90.32 / $90.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $73.01 / $73.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $109.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $86.68