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West Virginia rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $85.37 / $92.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $88.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $93.03 / $126.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $196.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $117.63 / $117.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $87.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $93.03 / $98.61