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West Virginia rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.34 / $436.51 / $440.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $440.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $648.03 / $648.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $499.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $753.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $545.86