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Mississippi 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
$66.87 / $74.95 / $76.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $66.87 / $85.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.45 / $88.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.51 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $81.51