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West Virginia rates for HCPCS J3000

Injection, streptomycin, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $31.35 / $37.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $36.69 / $37.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.69 / $55.04 / $55.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $36.69 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $60.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $93.75