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West Virginia rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $7.38 / $7.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $7.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.45