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West Virginia rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $16.96 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $18.62 / $25.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $27.66 / $27.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $18.44 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $41.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $26.75