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West Virginia rates for HCPCS Q4128

FlexHD, or AllopatchHD, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,611.04 / $6,611.04 / $15,491.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $30.21 / $31.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $44.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $69.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,292.03 / $5,292.03 / $5,292.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.90