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West Virginia rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.04 / $77.04 / $78.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $78.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.39 / $116.09 / $116.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.01 / $77.39 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $141.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $77.39 / $112.08