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West Virginia rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $13.19 / $29.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $13.06 / $13.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $19.59 / $19.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $63.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $13.06 / $33.00