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Alabama rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.76 / $20.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.97 / $1,429.52 / $1,923.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $13.52 / $13.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13