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West Virginia rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.45 / $569.26 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.45 / $533.90 / $646.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.29 / $492.91 / $537.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.36 / $477.36 / $477.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.21 / $709.21 / $709.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.95 / $649.22 / $1,468.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.21 / $671.61 / $876.76