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Wyoming 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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $70.79