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West Virginia rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.47 / $1,009.14 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.47 / $732.07 / $1,107.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.25 / $718.73 / $851.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.33 / $756.85 / $756.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.94 / $778.94 / $778.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.06 / $977.75 / $2,153.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.82 / $795.04 / $1,132.23