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West Virginia rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.09 / $39.71 / $39.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.71 / $41.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $58.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $91.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $969.00 / $969.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $817.89