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West Virginia rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.05 / $465.65 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.92 / $397.68 / $532.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.35 / $354.42 / $386.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.24 / $343.24 / $343.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.16 / $509.16 / $509.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.16 / $521.66 / $1,200.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.43 / $514.66 / $665.79