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North Carolina rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $17.32 / $24.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $14.34 / $22.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $26.35 / $35.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.49 / $15.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $28.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $17.05 / $31.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $18.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00