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West Virginia rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $11.04 / $58.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.61 / $3.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $27.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $16.91 / $65.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $9.14