go back

Nevada 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
$47.80 / $104.35 / $7,019.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.77 / $5,784.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.46 / $47.58 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $47.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $46.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $49.16 / $104.76
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.92 / $54.92 / $54.92
Hometown Health
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 / $50.75