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West Virginia rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.23 / $1.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.59 / $4.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $4.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.95