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Maryland rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $18.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $18.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $26.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $14.34 / $16.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64