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West Virginia rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.33 / $1.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.14 / $3.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $4.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $10.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.07 / $2.14