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West Virginia rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $82.52 / $90.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $81.98 / $108.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $118.20 / $118.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $116.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $150.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $136.57