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West Virginia rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.13 / $829.93 / $1,321.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.13 / $886.91 / $1,496.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.88 / $704.88 / $845.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.41 / $508.41 / $508.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.44 / $1,228.44 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.69 / $1,264.98 / $2,844.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.21 / $1,129.52 / $1,638.81