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West Virginia rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.51 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.46 / $5.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $12.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.53