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West Virginia rates for HCPCS 85400

Fibrinolytic Factors & Inhibitors Plasmin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $9.64 / $11.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $6.25 / $6.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $10.41 / $11.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $10.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $23.12 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $11.36 / $67.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.19 / $17.14