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New York rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.40 / $7.73 / $14.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.94 / $12.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $5.23 / $13.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.69 / $7.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $43.67
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $7.46 / $12.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $16.72 / $17.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.69 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $46.00 / $46.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.13 / $19.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $12.24