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Washington rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $18.21 / $29.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.66 / $17.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $17.11 / $31.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.74 / $24.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $13.43 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $17.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $14.24 / $26.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $20.43 / $31.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.24 / $15.74 / $24.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $15.65 / $29.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $15.94