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West Virginia rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.44 / $208.37 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.31 / $161.36 / $175.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.81 / $152.81 / $152.81
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$14.95 / $14.95 / $14.95