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West Virginia rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.25 / $3,486.30 / $17,324.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $86.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $86.90 / $118.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $183.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $87.85 / $87.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $81.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.24 / $211.22 / $365.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $87.94 / $108.00