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West Virginia rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.38 / $16,359.30 / $45,865.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $51.24 / $69.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $76.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.65 / $117.65 / $117.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $50.74 / $96.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $91.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.96 / $246.96 / $246.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $115.12