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Indiana rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $8.64 / $38.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $11.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $7.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.25 / $9.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $8.35 / $9.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $8.35 / $10.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $7.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $17.12