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West Virginia rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.04 / $821.32 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.04 / $763.70 / $901.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.86 / $844.40 / $920.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.78 / $817.78 / $817.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.23 / $1,223.23 / $1,223.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.16 / $954.62 / $2,344.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.22 / $1,040.08 / $1,415.58