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West Virginia rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,011.67 / $82,011.67 / $82,011.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,899.27 / $72,899.27 / $72,899.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.16 / $2,117.16 / $2,117.16