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Kansas rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $9.21 / $12.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $9.21 / $12.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $13.74 / $17.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $15.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13