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West Virginia rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.18 / $357.23 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.87 / $271.20 / $443.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.33 / $252.00 / $274.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.13 / $244.06 / $374.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $367.72 / $367.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.49 / $352.12 / $802.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.33 / $354.44 / $548.86