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Alabama rates for HCPCS J1569

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $61.16 / $7,564.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $50.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.88 / $977.31 / $4,496.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $66.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $74.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $46.46