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Virginia rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $2,074.71 / $4,125.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,899.08 / $1,899.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.64 / $3,816.23 / $6,149.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.86 / $2,820.77 / $4,256.80
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.35 / $2,108.21 / $2,170.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.47 / $1,537.31 / $2,029.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.00 / $1,196.00 / $1,196.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.68 / $1,808.65 / $2,315.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.68 / $1,808.65 / $2,315.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $2,108.21