go back

Idaho rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $21.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.97 / $22.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $24.05 / $32.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.97 / $22.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.03 / $21.78 / $21.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $20.32