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West Virginia rates for HCPCS 15101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.53 / $174.92 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.13 / $131.22 / $142.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.60 / $2,826.60 / $2,826.60