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Kentucky 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 / $47.80 / $65,688.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $57.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $53.44 / $90.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.51 / $45.31 / $45.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $49.84 / $72.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.58 / $69.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $89.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $45.31 / $85.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $50.75