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Kentucky rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.69 / $24.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.64 / $11.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $8.55 / $8.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.25 / $7.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $8.19 / $14.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $7.94 / $12.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $43.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13