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Arizona rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $33.88 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $50.12 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $23.99 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $18.20 / $18.20