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West Virginia rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.71 / $741.30 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.71 / $503.61 / $870.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.39 / $524.46 / $625.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.37 / $555.97 / $555.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $559.83 / $559.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.75 / $723.89 / $1,613.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.86 / $620.63 / $849.69