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West Virginia rates for HCPCS J1240

Injection, dimenhydrinate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $7.74 / $7.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.20 / $7.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $9.21 / $9.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $6.14 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $15.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $6.14 / $15.77