HCPCS J1562
Injection, immune globulin (vivaglobin), 100 mg
Retired codeInjection - Immune Globulin15 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $10.82 – $76.23 | — | — |
| Deaconess Medical Center | $33.25 | — | — |
| Harborview Medical Center | $19.32 | — | — |
| Kadlec Regional Medical Center | $27.18 – $34.43 | — | — |
| Legacy Salmon Creek Medical Center | $20.39 | — | — |
| Mary Bridge Children's Hospital | $27.68 – $98.74 | — | — |
| MultiCare Auburn Medical Center | $10.19 – $92.22 | — | — |
| MultiCare Covington Medical Center | $10.19 – $92.22 | — | — |
| MultiCare Good Samaritan Hospital | $92.22 | — | — |
| MultiCare Valley Hospital | $16.78 – $33.25 | — | — |
| Overlake Hospital Medical Center & Clinics | $36.48 | — | — |
| Providence Centralia Hospital | $27.18 – $34.43 | — | — |
| Tacoma General Allenmore Hospital | $10.19 – $92.22 | — | — |
| University of Washington Medical Ctr | $19.32 | — | — |
| Yakima Valley Memorial | $12.12 – $16.68 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.