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West Virginia rates for HCPCS Q4195

Puraply Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.54 / $98.92 / $98.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $98.92 / $102.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $97.94 / $146.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $227.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $175.44 / $175.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $211.87