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Kansas rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $30.13 / $80.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.60 / $30.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $19.98 / $26.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $19.01 / $19.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $17.12 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.20 / $21.51 / $27.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $26.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $29.04