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West Virginia rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.90 / $76.66 / $81.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $76.65 / $104.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $75.91 / $113.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $75.91 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $94.68