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West Virginia rates for HCPCS 19361

Breast Reconstruction W/Latissimus Dorsi Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,487.13 / $1,487.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $1,838.93 / $2,003.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.32 / $1,756.32 / $1,756.32
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$174.03 / $174.03 / $174.03