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West Virginia rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.08 / $1,488.25 / $2,549.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.75 / $1,351.79 / $1,351.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.96 / $2,112.58 / $4,792.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.17 / $2,053.35 / $3,719.13