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Washington rates for HCPCS J1557

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

Facilitymedian $93 · 10th–90th $63–$1350%20%10th90th$93Professionalmedian $68 · 10th–90th $63–$830%50%10th90th$68$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $109.65 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $67.61 / $120.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $87.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $102.33
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $66.07 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $64.57 / $83.18