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West Virginia rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.37 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.37 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.75 / $6.46