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Colorado rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $29.67 / $37.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $15.81 / $18.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $25.54 / $47.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $21.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $17.80 / $24.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $16.32 / $19.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85