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West Virginia rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.65 / $0.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.83 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.67 / $1.02