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Rhode Island rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,878.11 / $5,878.11 / $5,878.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,880.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.99 / $1,809.44 / $1,911.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.29 / $1,808.65 / $2,025.69