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West Virginia rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.60 / $321.18 / $321.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $321.18 / $333.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $477.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $737.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,232.50 / $1,232.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $1,452.60