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Microcapillary Tube Sealant

West Virginia rates for HCPCS A4652

Microcapillary tube sealant

Rates data updated October 2026.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$1$5$20facility $65professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.12
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.06
Median
$0.06
Typical High
$0.06
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.35
Median
$0.35
Typical High
$0.35