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Arizona rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $26.92 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $38.90 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $27.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.62 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $14.45 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $14.45