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West Virginia rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $396.01 / $675.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $396.01 / $435.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $443.88 / $588.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $745.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.05 / $444.05 / $444.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.86 / $392.09 / $401.08