go back

West Virginia rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $60.66 / $136.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.04 / $2.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.18 / $3.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $9.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $15.88 / $23.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $5.80