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Iowa rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.31 / $1,537.31 / $3,997.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.31 / $1,808.65 / $3,922.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.20 / $1,870.21 / $2,307.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.47 / $1,808.65 / $3,056.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.00 / $1,809.44 / $2,358.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.02 / $2,026.57 / $2,370.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.41 / $2,721.16 / $3,796.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.64 / $2,088.62 / $2,721.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,899.08 / $2,025.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.44 / $1,809.44 / $1,809.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.44 / $1,809.44 / $1,809.44