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West Virginia rates for HCPCS Q4216

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89