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West Virginia rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.28 / $1,265.39 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.28 / $877.00 / $1,331.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.63 / $893.42 / $1,067.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.91 / $949.04 / $949.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $953.80 / $953.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.85 / $1,238.83 / $2,559.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.40 / $1,047.07 / $1,559.80