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West Virginia rates for HCPCS 15750

Flap; neurovascular pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.84 / $1,400.00 / $13,975.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.20 / $1,097.61 / $1,195.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.97 / $1,051.97 / $1,051.97