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West Virginia rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.16 / $835.02 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.16 / $638.20 / $883.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.89 / $601.15 / $704.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.89 / $626.27 / $626.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.94 / $963.94 / $963.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.80 / $743.86 / $1,523.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.86 / $575.10 / $1,001.69