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West Virginia rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.15 / $725.52 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $692.41 / $871.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.31 / $751.73 / $819.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.02 / $728.02 / $728.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.68 / $1,095.68 / $1,095.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.97 / $850.06 / $2,061.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $914.12 / $1,256.94