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West Virginia rates for HCPCS 15570

Formation of direct or tubed pedicle, with or without transfer; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.49 / $850.75 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.02 / $855.47 / $932.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.91 / $1,229.91 / $1,229.91