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West Virginia rates for HCPCS 41850

Destruction of lesion (except excision), dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.17 / $123.17 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.52 / $123.17 / $146.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.32 / $128.32 / $156.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.28 / $139.28 / $139.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $138.16 / $138.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.06 / $162.50 / $333.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.86 / $136.43 / $195.45