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West Virginia rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.56 / $513.77 / $513.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $513.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $763.14 / $763.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $500.00 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $897.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $596.88