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Idaho rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.44 / $1,809.44 / $2,080.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,989.51 / $2,260.81
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.47 / $2,260.81 / $3,232.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,260.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.14 / $2,718.21 / $4,620.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.37 / $2,170.37 / $2,260.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,532.11