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West Virginia rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.04 / $619.17 / $2,453.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $277.13 / $408.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.81 / $173.48 / $210.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.01 / $454.51 / $534.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.70 / $253.70 / $253.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.72 / $270.45 / $599.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.96 / $949.65 / $1,631.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.44 / $322.14 / $394.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.59 / $253.66 / $369.01