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West Virginia rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $494.43 / $500.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $500.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $743.33 / $743.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $484.40 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $912.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.68 / $495.55 / $560.99