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Washington rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.79 / $12.79 / $28.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $12.79 / $12.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $14.24 / $30.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $11.96 / $14.40
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $13.98 / $25.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13