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West Virginia rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $83.18 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $57.54 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $239.88 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $66.07