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West Virginia rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.42 / $120.86 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $105.52 / $135.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.77 / $81.72 / $89.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $79.14 / $79.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.69 / $116.69 / $116.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $122.91 / $321.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.56 / $149.37 / $223.81