go back

Utah rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $21.06 / $21.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $21.06 / $21.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.70 / $24.99 / $26.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $44.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $20.32