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West Virginia rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.17 / $3,554.92 / $13,975.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.12 / $283.73 / $405.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.99 / $307.06 / $334.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.37 / $297.37 / $297.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.54 / $442.54 / $442.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$44.25 / $44.25 / $44.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.81 / $386.61 / $1,020.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.61 / $902.07 / $11,538.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.95 / $452.45 / $616.98