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West Virginia rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $207.65 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $156.84 / $170.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.66 / $219.66 / $219.66