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Virginia 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
$53.27 / $114.37 / $37,680.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $53.27 / $55.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $107.06 / $172.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.58 / $75.77 / $114.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $60.89 / $115.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $72.09 / $83.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.20 / $61.40 / $102.46
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $61.40 / $102.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $60.89