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West Virginia rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $24.55 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $19.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $30.90 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $15.85