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Florida rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $22.37 / $33.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $16.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.84 / $14.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $15.69 / $15.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $16.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.91