go back

Iowa rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $31.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $17.05 / $28.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $14.63 / $14.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $17.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $17.64 / $37.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $15.16 / $17.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $15.81 / $20.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.16 / $20.46 / $27.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $15.55 / $20.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $15.06 / $16.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.12