go back

West Virginia rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.70 / $603.61 / $603.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $161.81 / $195.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $259.45 / $259.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.77 / $312.77 / $312.77