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Washington rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.28 / $101.54 / $129.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.09 / $70.05 / $75.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.48 / $76.42 / $133.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $128.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $60.08 / $137.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $78.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $78.09 / $132.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.64 / $91.55 / $154.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.69 / $61.58 / $128.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.57 / $65.48 / $109.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $71.31