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Washington rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $28.24 / $732.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $15.77 / $17.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $16.64 / $31.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.80 / $27.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $33.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $17.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $17.64 / $29.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $21.49 / $36.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.70 / $27.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $15.77 / $26.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $16.05