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West Virginia rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $15.84 / $19.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $10.26 / $10.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $17.10 / $19.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $17.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $38.03 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $18.07 / $82.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $7.77 / $20.27