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Alaska rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $19,054.61 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $158.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $125.89 / $194.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $131.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $1,023.29