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West Virginia rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.35 / $7,436.34 / $10,280.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.50 / $453.36 / $635.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.92 / $383.12 / $456.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.89 / $405.50 / $405.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $614.32 / $614.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.48 / $556.61 / $1,426.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,128.92 / $21,128.92 / $21,128.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $2,450.00 / $2,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.30 / $559.38 / $766.59