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Virginia rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $31.62 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $30.20 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $25.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $23.44 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $23.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $17.78 / $22.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $17.78 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.14 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.20