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Alaska rates for HCPCS J1569

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

Facilitymedian $49 · 10th–90th $49–$3090%50%90th$49Professionalmedian $49 · 10th–90th $47–$1020%50%10th90th$49$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $8,912.51 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $158.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $147.91 / $229.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $51.29 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $1,659.59