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West Virginia rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.82 / $242.38 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.60 / $149.52 / $162.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.81 / $213.81 / $213.81