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West Virginia rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.18 / $1,663.81 / $2,697.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.75 / $1,183.06 / $1,403.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.02 / $1,897.02 / $1,897.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,753.83 / $18,753.83 / $18,753.83