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West Virginia rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $306.80 / $311.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $311.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $463.02 / $463.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $302.94 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $544.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.42 / $308.68 / $361.68