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West Virginia rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $288.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $218.78