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West Virginia rates for HCPCS 23920

Disarticulation Shoulder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.92 / $1,400.00 / $1,723.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.92 / $1,169.75 / $1,655.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.46 / $1,334.52 / $1,453.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.95 / $1,292.42 / $1,292.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.55 / $1,273.55 / $1,273.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.52 / $1,605.73 / $3,244.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.33 / $1,250.84 / $1,758.07