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Washington rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $21.56 / $36.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.53 / $21.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $20.27 / $38.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.02 / $27.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $40.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $20.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $21.89 / $36.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $25.48 / $44.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $18.02 / $26.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $18.52 / $33.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $18.86