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West Virginia rates for HCPCS 00172

Anes Intraoral W/Biopsy Repair Cleft Palate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $604.79 / $604.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $604.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $124.28 / $298.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.08 / $234.35 / $553.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.00 / $360.00 / $516.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $59.00 / $75.00