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Washington, DC rates for HCPCS J1568

Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $136.43 / $183.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $74.31 / $125.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $44.83 / $47.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $40.40 / $47.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $47.53 / $47.53