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West Virginia rates for HCPCS 21705

Division Scalenus Anticus Resection Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.05 / $840.11 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.03 / $547.05 / $826.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.45 / $650.60 / $708.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.20 / $630.08 / $630.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.54 / $607.54 / $607.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.03 / $835.35 / $1,645.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.15 / $696.35 / $985.61