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West Virginia rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.97 / $1,106.16 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.97 / $768.97 / $1,133.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.86 / $781.40 / $933.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.77 / $829.62 / $829.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.95 / $833.95 / $833.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.10 / $1,037.02 / $2,167.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.39 / $812.45 / $1,171.52