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West Virginia rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.68 / $932.72 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.47 / $885.02 / $1,116.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.10 / $982.26 / $1,070.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.28 / $951.28 / $951.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.45 / $1,422.45 / $1,422.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.45 / $1,106.91 / $2,608.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.85 / $4,322.85 / $4,322.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.25 / $1,064.65 / $1,537.92