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Cytomegalovirus Immune Globulin Intravenous Injection

Wisconsin rates for HCPCS J0850

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

Rates data updated July 2026.

Facilitymedian $2,692 · 10th–90th $1,820$5,3700%20%10th90th$2,692Professionalmedian $1,820 · 10th–90th $1,820$4,2660%50%90th$1,820$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,862.09
Median
$3,630.78
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,862.09
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,466.84
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,290.87
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$1,819.70
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$3,630.78
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,905.46
Typical High
$1,905.46
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$1,819.70
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$3,630.78
Typical High
$3,630.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$5,370.32
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$9,120.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,187.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,511.89
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,290.87