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West Virginia rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $62.51 / $62.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $60.09 / $61.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.87 / $178.50 / $312.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.87 / $172.87 / $178.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $66.98 / $72.40