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West Virginia rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $17.59 / $17.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $17.59 / $25.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $39.04 / $39.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.84 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $31.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $28.58