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West Virginia rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.20 / $8,051.19 / $12,917.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.99 / $756.31 / $921.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.49 / $840.02 / $915.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.53 / $813.53 / $813.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.22 / $1,208.22 / $1,208.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.94 / $949.12 / $2,213.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,029.68 / $7,217.47 / $7,353.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.56 / $5,128.56 / $5,128.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.66 / $1,036.86 / $1,424.43