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Florida 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 / $107.07 / $12,936.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $55.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $45.31 / $48.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $50.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $47.80