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West Virginia rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $79.39 / $80.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $80.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $118.89 / $118.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $77.75 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $145.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $79.26 / $91.75