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West Virginia rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,697.44 / $76,790.33 / $76,790.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,697.44 / $3,893.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $5,491.25 / $5,491.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,660.83 / $3,827.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $6,503.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,611.45