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West Virginia rates for HCPCS 85175

Clot lysis time, whole blood dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $25.46 / $30.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $16.50 / $16.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.41 / $27.50 / $30.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.44 / $24.44 / $27.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $50.00 / $61.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $29.43 / $98.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.81 / $12.02