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Utah rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.03 / $2,098.03 / $2,786.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.03 / $2,098.03 / $2,098.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.16 / $2,586.38 / $2,755.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,680.22 / $3,660.52 / $5,255.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.22 / $1,808.65 / $2,025.69