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West Virginia rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.38 / $21.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.71