go back

West Virginia rates for HCPCS 40845

Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.90 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.50 / $1,385.86 / $1,651.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.92 / $1,278.58 / $1,545.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.57 / $1,373.57 / $1,373.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.19 / $2,050.19 / $2,050.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.83 / $1,917.51 / $5,682.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.91 / $2,001.52 / $3,289.55