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West Virginia rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.52 / $886.52 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.21 / $1,024.57 / $1,116.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.57 / $968.57 / $968.57