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West Virginia rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.32 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $951.32 / $1,188.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.01 / $1,119.65 / $1,219.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.41 / $1,084.33 / $1,084.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.75 / $1,110.75 / $1,110.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.81 / $1,271.80 / $2,336.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.43 / $1,069.30 / $1,706.89