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Virginia rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $38.90 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $36.31 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $30.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.84 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $26.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $22.91 / $26.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $22.91 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $21.88