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Idaho rates for HCPCS J1569

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

Facilitymedian $55 · 10th–90th $49–$890%20%10th90th$55Professionalmedian $52 · 10th–90th $47–$7,9430%20%40%10th90th$52$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
$46.77 / $8,709.64 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $54.95 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $54.95 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $67.61
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $48.98 / $66.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $66.07