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West Virginia rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $89.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $75.98 / $75.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,999.55 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $113.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $89.40