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Indiana 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
$79.58 / $197.26 / $371.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $79.58 / $81.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $157.60 / $208.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $78.80 / $111.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $106.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $98.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $78.79 / $176.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $78.79 / $226.02
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 / $88.26 / $109.26