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Rhode Island rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.80 / $46.80 / $46.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $9.80 / $12.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $25.85 / $28.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13