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West Virginia rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.85 / $112.14 / $313.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.13 / $4.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.77 / $7.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $8.93 / $58.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.47 / $38.36