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West Virginia rates for HCPCS A6513

Compression Burn Mask Face And/Or Neck Plastic Or Equal Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,999.40 / $59,999.40 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,999.64 / $35,999.64 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98