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West Virginia rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $758.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $724.44