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West Virginia rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $175.38 / $240.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $240.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $262.31 / $357.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $552.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $765.00 / $765.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $247.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $264.69 / $1,362.29