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West Virginia rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $2,684.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,551.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,672.88 / $3,644.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $5,633.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,503.21 / $2,503.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,521.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,697.18 / $2,974.42