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West Virginia rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.17 / $885.48 / $885.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $92.31 / $120.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $84.56 / $92.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.90 / $81.90 / $81.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.20 / $121.20 / $121.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $119.68 / $315.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $144.09 / $155.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.37 / $120.16 / $169.28