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West Virginia rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $125.89