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Wyoming rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $30.89 / $30.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $17.12 / $17.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $20.32