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West Virginia rates for HCPCS Q4256

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.25 / $742.40 / $742.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $742.40 / $771.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $1,102.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $1,704.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.44 / $1,887.00 / $1,887.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.00 / $735.05 / $2,215.34