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Rhode Island 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
$159.12 / $8,228.48 / $8,891.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $50.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $48.03 / $75.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $48.96 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $54.84