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West Virginia rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.56 / $1,188.77 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.47 / $811.25 / $1,139.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.89 / $920.62 / $1,003.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.43 / $891.58 / $891.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.60 / $881.60 / $881.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.01 / $1,092.41 / $2,218.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.79 / $889.71 / $1,225.92