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West Virginia rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.07 / $164.62 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.70 / $143.66 / $183.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.79 / $162.94 / $177.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.81 / $157.81 / $157.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.31 / $236.31 / $236.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.19 / $199.17 / $438.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.65 / $197.31 / $252.29