go back

Washington, DC rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $49.60 / $66.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $26.30 / $44.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $16.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $14.31 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $16.84 / $21.86