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Washington, DC rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.02 / $182.51 / $16,222.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $77.17 / $130.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $46.19 / $48.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $41.62 / $48.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $48.96 / $63.57