go back

West Virginia rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $14.23 / $21.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $32.99 / $32.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $14.23 / $21.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $27.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $24.44