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Alabama rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $63.68 / $63.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $107.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.85 / $6,283.58 / $8,453.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $94.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $87.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68