go back

West Virginia rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $575.44 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $2,454.71 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $691.83