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West Virginia rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $93.47 / $133.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.80 / $5.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.49 / $8.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $12.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.83 / $8.82