go back

West Virginia rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $36.61 / $39.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $40.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $36.28 / $54.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $46.85 / $84.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $35.79 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $37.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.27 / $42.76