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Washington, DC rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $57.54 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.20 / $23.99