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West Virginia rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.87 / $580.04 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.87 / $580.04 / $1,269.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.76 / $379.98 / $452.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.75 / $401.83 / $401.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.29 / $609.29 / $609.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.02 / $660.13 / $1,713.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.78 / $690.42 / $1,059.76