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West Virginia rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.68 / $494.98 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.68 / $458.11 / $735.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.77 / $383.33 / $417.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $371.23 / $371.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.65 / $557.65 / $557.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.99 / $532.66 / $1,309.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.74 / $502.21 / $751.53