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West Virginia rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.69 / $1,066.90 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.69 / $291.18 / $403.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.04 / $258.05 / $281.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.91 / $249.91 / $249.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.78 / $372.78 / $372.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.47 / $395.86 / $924.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.73 / $912.73 / $912.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.77 / $410.80 / $546.02