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West Virginia rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $14.48 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $14.34 / $14.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $21.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $33.25 / $33.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $28.92