go back

West Virginia rates for HCPCS 86965

Pooling Platelets/Other Blood Products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.13 / $23.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $23.13 / $29.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $27.59 / $35.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $2.82 / $59.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $21.34 / $110.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $10.67 / $24.71