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Alaska rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $19.23 / $67.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $19.42 / $19.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $27.77 / $27.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $13.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $27.77 / $27.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $21.60 / $43.20