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West Virginia rates for HCPCS 40831

Closure of laceration, vestibule of mouth; over 2.5 cm or complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.48 / $282.70 / $368.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $224.84 / $224.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $370.81 / $958.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.63 / $395.35 / $660.05