go back

West Virginia rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.76 / $585.79 / $591.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $585.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $869.96 / $869.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $582.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $1,062.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $684.79