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West Virginia rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $18.20 / $24.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $21.88 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.98 / $31.62