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West Virginia rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $41.69 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $63.10