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West Virginia rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.79 / $1,333.49 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.93 / $913.30 / $1,302.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.09 / $1,032.70 / $1,125.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $1,000.12 / $1,000.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.60 / $990.60 / $990.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.35 / $1,250.15 / $2,478.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.67 / $1,035.98 / $1,396.05