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West Virginia rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $9.11 / $13.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $13.52 / $13.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $21.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $19.32