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West Virginia rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.26 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.32 / $1,042.72 / $1,544.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.30 / $1,240.24 / $1,351.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.35 / $1,201.11 / $1,201.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.19 / $1,164.19 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.34 / $1,498.99 / $3,068.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.04 / $1,256.08 / $1,727.82