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Missouri 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 / $2,090.73 / $2,213.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,862.90 / $2,189.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,971.43 / $6,496.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,260.81
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
$1,699.06 / $2,045.16 / $9,060.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.54 / $1,809.44 / $2,066.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,079.94