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Kansas rates for HCPCS J1568

Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.34 / $84.99 / $2,062.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $48.48 / $4,302.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.87 / $58.93 / $66.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.37 / $51.37 / $51.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.63 / $56.60 / $84.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $48.38 / $77.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $80.80