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West Virginia rates for HCPCS 21435

Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.23 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.75 / $1,462.28 / $1,899.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.52 / $1,484.50 / $1,802.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.06 / $1,602.05 / $1,602.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.02 / $1,585.02 / $1,585.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.79 / $1,902.99 / $3,619.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.51 / $1,492.61 / $2,136.06