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West Virginia rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $1,737.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,019.95 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58