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West Virginia rates for HCPCS Q4153

Dermavest and Plurivest, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.02 / $139.31 / $139.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $139.31 / $144.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $206.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $319.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.08 / $128.08 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $305.04