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West Virginia rates for HCPCS J0775

Injection, collagenase, clostridium histolyticum, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $9,332.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $75.86 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $97.72