go back

West Virginia rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $64.01 / $80.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $80.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.86 / $87.85 / $119.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $185.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $134.84 / $134.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $82.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $88.64 / $154.62