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West Virginia rates for HCPCS J2010

Injection Lincomycin Hcl Up To 300 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $8.65 / $8.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.54 / $48.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $6.75 / $6.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.50 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $18.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $13.34