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Payers and negotiated rates for HCPCS J1577 | medprice.ai

HCPCS J1577

Inj, qivigy, 100mg

Payer pricing summary

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Low

$28

Average

$37

Median

$31

High

$52

Payer rate distribution

i

Filter by billing methodology

All methodologies Case rate 10 Fee schedule 3 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Aetna facility · case rate · outpatient · +1 other terms	3	$30	$30	$1	2%	—	$30 – $31
2	Ambetter facility · case rate · outpatient	2	$51	$51	$16	31%	—	$36 – $67
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	2	$62	$62	—	—	—	$62 – $62
4	Devoted facility · case rate · outpatient	2	$31	$31	$1	2%	—	$30 – $32
5	Humana facility · case rate · outpatient	2	$30	$30	$0	1%	—	$30 – $30
6	UnitedHealthcare facility · case rate · outpatient · +2 other terms	2	$30	$30	$0	1%	—	$30 – $30
7	Anthem facility · case rate · outpatient	1	$30	$30	—	—	—	$30 – $30
8	Cigna Healthspring facility · case rate · outpatient	1	$31	$31	—	—	—	$31 – $31
9	Highmark facility · case rate · outpatient	1	$32	$32	—	—	—	$32 – $32
10	Kaiser facility · case rate · outpatient	1	$52	$52	$19	36%	—	$30 – $72

← Hospitals reporting HCPCS J1577 · Snapshot 20261113T090226Z-3ce6c0b8