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Arizona 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
$79.43 / $870.96 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $52.48 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $134.90 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $93.33 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $74.13 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $48.98 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $48.98 / $48.98