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West Virginia rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $645.65