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West Virginia rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.75 / $63.83 / $120.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $20.93 / $29.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.08 / $34.47 / $38.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $30.64 / $34.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $46.30 / $76.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $36.65 / $163.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.41 / $102.95 / $160.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $43.12 / $43.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $15.32 / $35.67