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West Virginia rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.91 / $71.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $73.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $72.59 / $99.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $153.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $68.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $72.59 / $83.15