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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
$45.31 / $195.55 / $24,266.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.80 / $8,018.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.84 / $79.56 / $144.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $42.75 / $64.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $57.08 / $75.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $49.85 / $74.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31