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Kentucky 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
$66.64 / $66.64 / $113.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $71.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.44 / $78.59 / $133.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $66.64 / $66.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $72.42 / $106.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $73.30 / $102.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $90.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.64 / $135.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $74.64