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Kentucky 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
$78.80 / $78.80 / $133.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $87.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $92.91 / $157.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $78.80 / $78.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $85.76 / $126.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $86.68 / $121.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $78.79 / $116.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.19 / $78.79 / $150.76
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 / $88.26