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West Virginia rates for HCPCS 40801

Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $275.42 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $389.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $251.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $467.74