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West Virginia rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.75 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.48 / $13.80