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West Virginia rates for HCPCS Q4239

Amnio-maxx or lite per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.95 / $1,921.65 / $1,921.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,921.65 / $1,997.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $2,853.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $4,411.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.93 / $2,349.92 / $2,349.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $1,902.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.62 / $1,902.62 / $2,525.71