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West Virginia rates for HCPCS J1571

Hepagam B Im Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $72.38 / $79.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $72.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $99.96 / $99.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $90.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $118.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $111.87