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Mississippi rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.59 / $17.80 / $17.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $15.59 / $20.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.61 / $18.61 / $18.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $14.84 / $17.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $19.01