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West Virginia rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.41 / $1,187.41 / $3,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.64 / $1,257.19 / $1,809.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.04 / $1,263.04 / $1,541.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.32 / $1,370.32 / $1,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.20 / $1,364.20 / $1,364.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.93 / $1,598.83 / $3,433.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.35 / $1,283.66 / $2,289.83