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West Virginia rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.06 / $1,052.38 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.44 / $814.99 / $887.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.20 / $767.20 / $767.20
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.27 / $75.27 / $75.27