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West Virginia rates for HCPCS 23020

Capsular Contracture Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.05 / $1,059.59 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.02 / $820.58 / $894.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.35 / $789.35 / $789.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.29 / $78.29 / $78.29