go back

Wyoming rates for HCPCS J1569

Injection, immune globulin, (Gammagard liquid), nonlyophilized, (e.g., liquid), 500 mg

Facilitymedian $93 · 10th–90th $47–$1860%20%40%10th90th$93Professionalmedian $105 · 10th–90th $50–$1050%50%10th$105$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $50.12 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $52.48