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Georgia rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $125.89 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $302.00 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $151.36 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $97.72