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Delaware rates for HCPCS J0850

Injection Cytomegalovirus Immune Globulin Intravenous (Human) Per Vial (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $4,218.35 / $4,218.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.58 / $1,808.65 / $2,712.98