go back

Virginia rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $569.29 / $1,132.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $521.58 / $521.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $1,048.11 / $1,688.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.21 / $764.92 / $1,154.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.23 / $567.88 / $596.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $794.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.91 / $481.84 / $635.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.91 / $481.84 / $635.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $596.09