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West Virginia rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.58 / $964.54 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.58 / $766.37 / $1,210.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.48 / $676.57 / $813.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.65 / $723.41 / $723.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.85 / $1,084.85 / $1,084.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.41 / $959.41 / $2,149.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.48 / $905.89 / $1,230.51