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West Virginia rates for HCPCS 40810

Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.03 / $203.70 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.81 / $200.96 / $267.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.60 / $127.19 / $151.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.34 / $134.34 / $134.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.95 / $203.95 / $203.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.34 / $225.69 / $578.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,234.80 / $3,234.80 / $21,533.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.05 / $212.85 / $339.28