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Washington 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 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.95 / $31.84 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $17.85 / $19.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $12.07 / $12.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.95 / $30.17 / $46.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $16.64 / $18.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.30 / $23.60