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West Virginia rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.12 / $44.85 / $75.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $23.88 / $25.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $26.27 / $35.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $55.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $26.58 / $80.48