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West Virginia rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $6.31 / $6.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.03 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $21.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.76 / $4.76