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West Virginia rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.64 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $0.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.95 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.63 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $2.06