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Kansas rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $17.05 / $62.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $15.48 / $20.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $15.82 / $16.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.27 / $15.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $15.48 / $21.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.12 / $22.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.38