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Kansas 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
$83.34 / $90.14 / $14,279.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $85.10 / $110.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.67 / $94.66 / $100.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.18 / $85.18 / $85.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $74.33 / $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
$44.47 / $85.39 / $116.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $81.70 / $122.91
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 / $133.84