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West Virginia rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.09 / $1,170.09 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.09 / $1,186.83 / $1,535.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.80 / $1,369.54 / $1,492.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.34 / $1,326.34 / $1,326.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.93 / $1,380.93 / $1,380.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.69 / $1,657.92 / $5,740.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.72 / $1,120.65 / $1,916.80