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Mississippi 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
$49.90 / $57.03 / $58.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $49.90 / $112.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $58.70