go back

Washington, DC rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $39.82 / $53.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $20.53 / $34.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $14.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.19 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $14.34 / $18.62