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Virginia rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $20.17 / $40.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.68 / $17.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $35.53 / $57.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $26.30 / $39.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $20.21 / $28.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $24.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $20.38 / $25.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $20.38 / $25.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $20.21