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West Virginia rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.31 / $247.76 / $247.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $247.76 / $257.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $367.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $568.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $274.62 / $274.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $459.85