go back

West Virginia rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.38 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.38 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.38 / $21.88