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Rhode Island 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
$216.58 / $216.58 / $216.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $69.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $71.66 / $90.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
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
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 / $74.64