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Virginia rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.52 / $13.37 / $26.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $12.24 / $12.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $13.19 / $13.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $14.40 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13