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West Virginia rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.99 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.99 / $1,456.56 / $2,205.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.20 / $1,620.67 / $1,765.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.14 / $1,569.55 / $1,569.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.28 / $1,579.28 / $1,579.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.26 / $1,973.42 / $4,153.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.52 / $1,665.95 / $2,176.39