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Ohio rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $24.55 / $37.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $24.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $12.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $8.25 / $11.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $15.05 / $17.28