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Kansas 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
$63.72 / $115.66 / $274.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $68.78 / $115.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.67 / $66.88 / $70.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $67.53 / $67.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $60.08 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.08 / $73.09 / $106.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $62.47 / $99.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $101.89