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West Virginia rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.18 / $492.82 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.18 / $423.47 / $677.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.04 / $346.35 / $415.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.32 / $369.61 / $369.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.37 / $555.37 / $555.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.21 / $490.66 / $1,308.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.48 / $478.42 / $671.07