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West Virginia rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.25 / $796.61 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.25 / $672.89 / $1,286.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.09 / $567.66 / $672.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.86 / $597.46 / $597.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.23 / $910.23 / $910.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.90 / $813.74 / $2,241.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.60 / $2,491.60 / $2,491.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,092.48 / $9,092.48 / $9,092.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.92 / $773.67 / $1,127.72