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West Virginia rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.82 / $90.82 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.18 / $90.82 / $99.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.50 / $1,392.30 / $2,862.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.19 / $108.19 / $108.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.57 / $450.57 / $450.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $95.46 / $138.19