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West Virginia rates for HCPCS 21249

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.52 / $1,380.01 / $2,285.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.73 / $1,261.35 / $1,261.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.01 / $1,805.02 / $4,278.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.45 / $1,658.87 / $2,317.19