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West Virginia rates for HCPCS 80220

Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.28 / $23.30 / $27.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $15.10 / $15.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $25.16 / $27.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.37 / $22.37 / $25.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $26.12 / $55.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $22.64 / $89.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $85.23 / $85.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $11.18 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $8.39 / $25.16