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West Virginia rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $7.07 / $14.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $11.52 / $11.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $8.06 / $14.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $43.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13