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West Virginia rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $344.43 / $449.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.30 / $300.60 / $300.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.36 / $411.45 / $1,065.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.14 / $434.56 / $590.34