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West Virginia rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.22 / $155.22 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.99 / $178.25 / $194.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.38 / $165.38 / $165.38