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Illinois rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $21.60 / $30.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $9.17 / $12.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $24.69 / $101.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.74 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.27 / $15.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $16.29