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West Virginia rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.74 / $94.74 / $94.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $80.53 / $94.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.98 / $44,999.55 / $69,999.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $83.69 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $83.69 / $83.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.58 / $94.74 / $94.74