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West Virginia rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.23 / $1.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.86 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.52 / $1.52