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West Virginia rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.05 / $939.35 / $939.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $804.05 / $835.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.87 / $796.09 / $1,194.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.46 / $557.26 / $796.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $806.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.57 / $796.09 / $1,433.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.46 / $796.09 / $992.91