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West Virginia rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,036.03 / $4,036.03 / $4,036.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.65 / $34.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.56 / $3,913.56 / $9,460.06