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West Virginia rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $5,102.34 / $5,102.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,678.89 / $4,854.35 / $4,971.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,349.09 / $3,805.79 / $7,307.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $5,244.99 / $5,244.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $5,166.29 / $5,848.63