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Virginia rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $36.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.60 / $23.60 / $23.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $10.73 / $23.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.94 / $16.96 / $21.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $16.96 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $19.55 / $23.60