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West Virginia rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $2,036.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,240.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $3,024.63 / $3,024.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,016.42 / $2,159.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $3,701.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,540.81