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Nationwide rates for HCPCS J1572

Injection, immune globulin, (Flebogamma/Flebogamma Dif), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $53.70 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $52.48 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $104.71 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $53.70 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $85.11 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $63.10