go back

West Virginia rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.51 / $49.45 / $64.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.45 / $56.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $73.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.53 / $113.53 / $113.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.19 / $48.96 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $93.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.81 / $48.81 / $48.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $48.96 / $103.29