go back

West Virginia rates for HCPCS 41150

Glssc Composit W/Rescj Floor & Mandibular Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,154.11 / $3,241.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.02 / $2,274.31 / $2,735.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.09 / $2,450.09 / $2,450.09