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Rhode Island 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
$256.10 / $256.10 / $256.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $81.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $116.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $88.26