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West Virginia rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $496.51 / $501.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $501.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $745.11 / $745.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $496.68 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $927.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $567.88