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West Virginia rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $114.09 / $194.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.21 / $33.89 / $42.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.34 / $54.34 / $54.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00