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Washington rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $31.06 / $38.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.97 / $22.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $21.66 / $41.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.19 / $29.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $17.12 / $42.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $22.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $22.69 / $38.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.38 / $27.34 / $47.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $19.19 / $29.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.66 / $19.97 / $34.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $20.32