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West Virginia rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.10 / $1,396.48 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $914.10 / $1,129.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.23 / $973.05 / $1,178.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.49 / $1,047.35 / $1,047.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.05 / $1,043.05 / $1,043.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.02 / $1,200.22 / $2,330.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.24 / $1,005.46 / $1,520.20