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West Virginia rates for HCPCS 21315

Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.28 / $3,072.86 / $3,072.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $163.92 / $308.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.05 / $63.51 / $77.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.63 / $68.63 / $83.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.84 / $101.84 / $101.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.63 / $203.73 / $580.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.02 / $248.28 / $419.35