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West Virginia rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.77 / $1,103.25 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.41 / $757.95 / $1,079.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.14 / $854.38 / $930.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.57 / $827.44 / $827.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.71 / $821.71 / $821.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.60 / $1,092.58 / $1,953.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.85 / $1,006.38 / $1,717.03