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West Virginia rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$118.42 / $860.10 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.51 / $144.03 / $179.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.89 / $146.27 / $159.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.65 / $141.65 / $141.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.32 / $211.32 / $211.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.06 / $187.57 / $470.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.78 / $699.78 / $699.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.61 / $215.17 / $251.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.30 / $189.12 / $257.89