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Kansas 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 / $7,961.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,844.82 / $2,532.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.41 / $2,113.69 / $2,224.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.65 / $1,876.65 / $1,876.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $1,706.27 / $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
$1,124.43 / $1,809.44 / $2,533.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.44 / $1,809.44 / $2,029.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,108.21