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West Virginia rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.65 / $1.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.14 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $6.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.40 / $2.40