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Maryland 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 / $1,809.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,424.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,809.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,303.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,897.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,917.17 / $2,348.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.11 / $1,814.11 / $1,814.11