go back

West Virginia rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,198.06 / $1,802.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.92 / $1,305.85 / $1,305.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.91 / $1,687.56 / $3,481.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.82 / $1,523.51 / $2,073.87