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West Virginia rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.40 / $92.45 / $92.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $92.45 / $96.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $137.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $212.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $136.00 / $136.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $211.87