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Arizona rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.86 / $159.96 / $17,513.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $107.84 / $5,705.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.58 / $280.54 / $461.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.37 / $79.09 / $501.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.63 / $107.84 / $189.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $81.70 / $90.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80