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West Virginia rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.51 / $1,592.26 / $9,718.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.02 / $1,402.46 / $1,610.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.88 / $1,786.57 / $2,162.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.69 / $3,276.63 / $3,343.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.21 / $1,686.21 / $1,686.21
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,048.79 / $1,048.79 / $1,048.79
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$161.29 / $161.29 / $161.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.51 / $1,874.41 / $3,956.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.04 / $1,825.22 / $2,441.34