go back

Oklahoma rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $14.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $14.45 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.22