go back

West Virginia rates for HCPCS 15201

Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $5,640.00 / $5,640.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.58 / $90.79 / $98.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $129.19 / $129.19