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Missouri rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $17.78 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.45 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.22