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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
$14.13 / $17.38 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $16.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $21.38 / $21.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $14.45 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $25.12