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North Carolina 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
$46.50 / $89.05 / $21,940.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $46.50 / $7,695.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.65 / $68.81 / $89.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.31 / $42.31 / $50.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $104.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.50 / $53.92 / $115.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $38.53 / $38.53
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,737.66 / $21,737.66 / $21,737.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $70.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.05 / $100.00 / $226.55