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Kansas rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $16.98 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.78 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $20.89 / $22.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $23.44