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West Virginia rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.40 / $561.88 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.40 / $505.99 / $673.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.89 / $252.04 / $274.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.09 / $244.09 / $301.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.80 / $355.80 / $355.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.16 / $485.61 / $986.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,500.75 / $8,500.75 / $8,500.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.10 / $459.20 / $768.09