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North Carolina rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.34 / $91.63 / $239.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $67.34 / $91.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.58 / $153.33 / $186.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.21 / $62.21 / $71.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $106.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.34 / $79.30 / $117.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $50.22 / $50.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $95.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $114.88 / $333.20