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Pennsylvania rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $33.04 / $42.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.48 / $28.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $15.55 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $15.56
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 / $14.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.48 / $71.48 / $71.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $24.10 / $42.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $14.48 / $42.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $14.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $12.62 / $14.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $14.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $24.58