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North Carolina 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
$75.53 / $90.77 / $90.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $90.77 / $90.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.33 / $153.33 / $153.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $71.66 / $77.90
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
$79.30 / $90.77 / $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 / $100.00 / $333.20