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West Virginia rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,615.63 / $2,473.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.94 / $1,698.09 / $2,608.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.15 / $1,726.38 / $2,086.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.71 / $1,854.96 / $1,854.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.64 / $1,858.64 / $1,858.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.87 / $2,386.98 / $4,803.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.38 / $1,971.82 / $2,641.34