go back

West Virginia rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.61 / $5,373.04 / $5,515.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.29 / $976.74 / $1,785.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.17 / $1,015.76 / $1,229.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.72 / $1,967.26 / $2,314.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.20 / $1,467.20 / $1,467.20
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.72 / $146.72 / $146.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.77 / $1,197.86 / $2,766.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,735.77 / $15,368.82 / $15,995.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.19 / $1,453.19 / $1,453.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,264.14 / $10,264.14 / $10,264.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.74 / $1,298.90 / $1,807.41