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Indiana rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $31.75 / $64.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.48 / $14.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $28.68 / $38.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $14.34 / $20.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $19.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $16.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $31.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $14.34 / $36.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $23.14