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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
$46.77 / $46.77 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $46.77 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $81.28