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West Virginia rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.04 / $519.52 / $524.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $524.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $763.44 / $763.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $513.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $941.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $604.67