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West Virginia rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $3,718.17 / $3,718.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.22 / $1,363.54 / $4,591.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.50 / $841.59 / $1,004.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.11 / $893.11 / $2,100.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.47 / $1,349.47 / $1,349.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.51 / $3,211.11 / $8,239.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,051.21 / $7,051.21 / $7,051.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.74 / $3,188.12 / $5,804.01