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Kentucky rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.34 / $24.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $16.91 / $28.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $14.34 / $14.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $15.77 / $22.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $15.06 / $22.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $14.34 / $24.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.34 / $16.05