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West Virginia rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.10 / $0.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.08