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Washington, DC rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.50 / $191.63 / $23,313.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $75.77 / $128.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $43.13 / $50.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.23 / $50.74 / $65.88