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West Virginia rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.61 / $70.61 / $70.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $76.33 / $88.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.98 / $80.93 / $92.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.94 / $71.94 / $71.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $106.62 / $239.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $105.32 / $335.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $36.61 / $84.43