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West Virginia rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.16 / $889.60 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.11 / $628.91 / $750.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.06 / $671.06 / $671.06