go back

Mississippi 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 / $54.38 / $7,564.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.58 / $54.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.82 / $48.82 / $48.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $58.00