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West Virginia rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.25 / $223.92 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.03 / $211.72 / $279.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.66 / $174.13 / $208.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $185.56 / $239.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.22 / $279.22 / $279.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.81 / $252.33 / $610.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,754.04 / $7,754.04 / $13,031.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $249.90 / $376.85