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North Carolina rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.53 / $1,814.62 / $2,969.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.99 / $1,814.62 / $2,193.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.98 / $3,687.16 / $5,240.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.47 / $1,363.47 / $2,184.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,108.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.62 / $2,152.29 / $2,319.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.82 / $878.82 / $878.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,170.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.84 / $2,405.84 / $9,043.25