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West Virginia rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.19 / $1,048.41 / $1,735.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.34 / $1,115.69 / $1,115.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.12 / $1,459.70 / $3,239.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.56 / $1,277.39 / $1,745.28