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Washington rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.52 / $347.49 / $785.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $187.52 / $560.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.36 / $751.07 / $1,452.06
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $281.29 / $570.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.83 / $160.83 / $1,198.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $209.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.06 / $208.83 / $780.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.19 / $811.61 / $1,420.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.84 / $536.12 / $570.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.08 / $600.85 / $1,114.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48