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West Virginia rates for HCPCS J9019

Injection, asparaginase (Erwinaze), 1,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $483.70 / $483.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $411.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.80 / $32,999.67 / $69,999.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.80 / $576.80 / $576.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $447.42 / $483.70