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Massachusetts rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $28.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $17.98 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $14.40 / $21.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $9.25 / $19.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $17.98 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $14.40 / $21.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $14.40 / $20.16