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North Carolina 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
$73.17 / $144.96 / $7,424.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.17 / $78.80 / $116.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $128.03 / $166.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $87.10
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 / $136.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.17 / $93.77 / $150.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $30.48 / $30.48
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 / $104.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.08 / $116.08 / $394.00