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West Virginia rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.34 / $367.12 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.34 / $352.73 / $604.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.92 / $259.73 / $309.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $275.33 / $275.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.73 / $425.42 / $1,068.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.23 / $472.92 / $598.97