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West Virginia rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.75 / $48,668.69 / $57,788.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $203.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $183.48 / $275.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $237.14 / $425.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $181.09 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $190.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.84 / $512.84 / $721.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $203.66 / $217.31