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West Virginia rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.21 / $628.21 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.44 / $628.21 / $767.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.48 / $784.18 / $854.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.44 / $759.44 / $759.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.08 / $761.08 / $761.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.72 / $75.72 / $75.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.04 / $797.92 / $1,762.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.87 / $699.45 / $999.21