go back

West Virginia rates for HCPCS 0695T

Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.80 / $141.80 / $141.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.59 / $148.18 / $169.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.91 / $2,387.60 / $4,911.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.97 / $175.97 / $175.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.92 / $735.92 / $735.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.46 / $179.61 / $322.36