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Virginia rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $218.78 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $125.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $208.93 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $263.03 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $245.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $416.87 / $724.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $125.89 / $537.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $169.82 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $104.71 / $131.83