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West Virginia rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.29 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.64 / $1,325.36 / $1,688.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.99 / $1,346.32 / $1,635.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.99 / $1,453.84 / $1,453.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.35 / $1,437.35 / $1,437.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.19 / $1,810.97 / $3,343.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.67 / $1,472.77 / $2,058.40