go back

West Virginia rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $93.33 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $23.99 / $1,047.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $2.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.48 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.18