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Maine rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $17.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.45 / $21.88