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Ohio 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
$48.96 / $106.24 / $5,968.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.45 / $110.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.88 / $78.83 / $139.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $84.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $48.96 / $73.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $48.96 / $66.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $46.19 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $113.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.06 / $95.11 / $127.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $113.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.18 / $61.20 / $70.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $58.75