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West Virginia rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $40.22 / $44.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $40.22 / $54.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $59.75 / $59.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.57 / $39.83 / $39.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $75.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $39.83 / $45.60