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Nationwide rates for HCPCS J1572

Injection Immune Globulin (Flebogamma) Intravenous Non-Lyophilized (E.G. Liquid) 500mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.73 / $58.97 / $116.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.77 / $52.73 / $63.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.12 / $89.88 / $164.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $54.00 / $58.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.94 / $52.94 / $59.29