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West Virginia rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $381.64 / $388.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $388.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $577.28 / $577.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $381.50 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $691.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $407.94 / $435.79