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West Virginia rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $119.58 / $139.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.39 / $119.58 / $119.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.01 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $168.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $187.58