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West Virginia rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.23 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.20 / $1,131.29 / $1,801.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.91 / $1,283.71 / $1,398.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.86 / $1,243.22 / $1,243.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.70 / $1,243.70 / $1,243.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.84 / $1,599.12 / $3,432.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.90 / $1,404.07 / $1,787.00