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Georgia rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $9.65 / $9.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.57 / $9.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $12.77 / $13.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13