go back

Vermont rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $3,108.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.52 / $2,047.52 / $2,047.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $2,051.33 / $3,418.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.27 / $2,051.33 / $3,418.88
MVP Health Care
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
$1,791.99 / $2,025.69 / $2,025.69