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West Virginia rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $457 · 10th–90th $35–$81,2830%10%20%10th90th$457Professionalmedian $2,188 · 10th–90th $2,188–$72,4440%20%40%90th$2,188$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $81,283.05 / $81,283.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $660.69