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West Virginia rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,653.00 / $2,534.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.00 / $1,755.45 / $2,518.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.66 / $1,788.17 / $2,138.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.20 / $1,900.88 / $1,900.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.77 / $1,910.77 / $1,910.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.23 / $2,372.86 / $5,145.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.42 / $1,926.93 / $2,613.71