go back

Washington, DC rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $230.39 / $310.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $124.38 / $210.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $74.33 / $78.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $66.98 / $78.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.01 / $78.80 / $102.31