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West Virginia rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.49 / $1,496.43 / $2,807.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.96 / $832.96 / $875.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.43 / $1,706.25 / $3,960.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.79 / $1,622.49 / $2,685.52