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West Virginia rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,976.02 / $4,547.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.89 / $2,976.02 / $3,565.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.72 / $3,521.54 / $3,836.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.68 / $3,410.47 / $3,410.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.00 / $3,301.00 / $3,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.28 / $3,836.81 / $7,575.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.92 / $3,195.90 / $4,556.68