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West Virginia rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $58 · 10th–90th $58–$590%50%90th$58Professionalmedian $58 · 10th–90th $58–$630%50%90th$58$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $158.49