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Colorado rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $3,600.79 / $4,584.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,918.01 / $2,189.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.50 / $3,175.63 / $5,787.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $1,706.27 / $2,559.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.97 / $1,917.16 / $3,000.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.49 / $1,989.51 / $2,966.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65