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North Carolina rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $21.33 / $29.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $15.87 / $25.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $34.01 / $37.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $14.64 / $19.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $30.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $21.60 / $33.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $10.83 / $10.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.75 / $100.00