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West Virginia rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.00 / $345.60 / $345.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $345.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.26 / $71.02 / $170.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $122.53 / $316.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $180.00 / $258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $55.13 / $73.00