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West Virginia rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $18.39 / $18.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $27.23 / $27.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.14 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $32.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $18.14 / $29.42