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West Virginia rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.01 / $21,273.61 / $21,273.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.42 / $875.88 / $954.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.35 / $845.35 / $845.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,441.05 / $12,441.05 / $12,441.05