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West Virginia rates for HCPCS J0850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $7,762.47 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,187.76