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Abatacept Injection

West Virginia rates for HCPCS J0129 · Orencia

Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated October 2026.

How much does Orencia (abatacept) cost?

$45.71

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $67.61 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$44.67 to $66.07
FacilityA hospital or hospital-owned outpatient department$67.61$66.07 to $85.11

How much rates vary

Facilitymedian $68 · 10th to 90th $46 to $87Professionalmedian $46 · 10th to 90th $45 to $158
$50$100facility $68professional $46

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$46.77
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$67.61
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$70.79
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Facility
Modifier
JZ · No drug discarded
Typical Low
$53.70
Median
$53.70
Typical High
$239.88

Where West Virginia sits

The same service costs 1.6 times more in Arizona than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 30th of 51

$45.71

AZ $72.44MD $44.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.