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West Virginia rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $10.53 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.89 / $44,999.55 / $59,999.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $21.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $23.60 / $23.60