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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
$575.44 / $575.44 / $1,698.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $9,120.11