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West Virginia rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.60 / $20.17 / $20.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.17 / $20.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $29.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $46.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $22.63 / $22.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $36.77