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West Virginia rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.10 / $9,198.84 / $9,198.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.38 / $399.47 / $553.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.23 / $432.98 / $471.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.08 / $419.33 / $419.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $405.65 / $405.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.24 / $548.33 / $1,094.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,028.63 / $20,028.63 / $20,028.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.39 / $482.55 / $701.91