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West Virginia rates for HCPCS 14302

Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.80 / $1,200.00 / $33,442.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.22 / $209.50 / $243.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.92 / $255.24 / $308.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.92 / $405.96 / $477.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.50 / $243.50 / $243.50
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$190.88 / $190.88 / $190.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.86 / $23.86 / $23.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.09 / $256.64 / $603.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,867.89 / $5,867.89 / $6,922.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.30 / $285.62 / $394.94