go back

Maine 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
$61.66 / $123.03 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $50.12 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $60.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $123.03 / $22,908.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $53.70 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $48.98 / $74.13