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Washington rates for HCPCS J1566

Injection Immune Globulin Intravenous Lyophilized (E.G. Powder) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.39 / $102.15 / $170.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $87.53 / $5,512.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $96.03 / $189.97
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.68 / $88.34 / $134.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $74.33 / $162.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $96.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $98.50 / $169.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.87 / $125.60 / $219.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $93.72 / $134.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.77 / $86.68 / $159.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.68 / $86.68 / $86.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $88.26