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Arizona rates for HCPCS J1569

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

Facilitymedian $115 · 10th–90th $49–$7,2440%10%10th90th$115Professionalmedian $63 · 10th–90th $47–$9,3330%20%10th90th$63$50.0$200.0$1.0K$5.0K$20.0K

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
$75.86 / $100.00 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $63.10 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $165.96 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $81.28 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $48.98 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $50.12