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West Virginia rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.38 / $559.47 / $559.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $559.47 / $581.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $830.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $1,284.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $1,062.50 / $1,062.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.32 / $553.94 / $1,717.58