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Kansas rates for HCPCS J1573

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $79.02 / $315.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $67.97 / $93.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.05 / $102.62 / $108.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.04 / $72.04 / $72.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $79.02 / $100.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $71.66 / $101.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $109.63