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West Virginia rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.11 / $1,276.45 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.04 / $880.42 / $1,259.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.58 / $988.51 / $1,077.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.09 / $957.34 / $957.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.80 / $950.80 / $950.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.29 / $1,157.36 / $2,367.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.01 / $966.23 / $1,327.32