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Colorado 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
$46.77 / $5,495.41 / $44,668.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $81.28 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $134.90 / $134.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77