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Cytomegalovirus Immune Globulin Intravenous Injection

Pennsylvania rates for HCPCS J0850

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

Rates data updated July 2026.

Facilitymedian $2,692 · 10th–90th $1,820$5,2480%20%10th90th$2,692Professionalmedian $1,820 · 10th–90th $1,820$2,7540%50%90th$1,820$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,754.23
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,754.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$6,309.57
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,162.28
Typical High
$3,162.28
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$5,128.61
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,677.35
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$3,467.37
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,511.89