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Washington, DC rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $42.05 / $56.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $22.41 / $37.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $14.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.85 / $19.28