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West Virginia rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Facilitymedian $2 · 10th–90th $2–$20%50%$2Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.91 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.62 / $1.78