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West Virginia rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.14 / $835.12 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.14 / $662.92 / $993.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.95 / $598.64 / $704.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.56 / $626.34 / $626.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.91 / $959.91 / $959.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.80 / $782.93 / $1,951.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.78 / $670.92 / $1,025.01