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Arizona rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,935.26 / $3,617.30 / $5,425.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.51 / $2,189.42 / $3,922.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.62 / $6,269.11 / $10,310.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.18 / $1,751.54 / $11,606.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.51 / $2,189.42 / $2,846.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.44 / $1,809.44 / $1,996.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65