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Washington rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.47 / $993.02 / $144,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $546.41 / $600.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.40 / $596.09 / $1,189.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $522.99 / $569.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $993.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $609.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.40 / $496.74 / $938.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.26 / $786.25 / $1,375.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.63 / $536.99 / $569.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.40 / $546.41 / $982.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $556.35