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Wyoming rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.22