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West Virginia rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.94 / $327.25 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $143.78 / $404.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.42 / $103.94 / $113.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $100.67 / $319.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.19 / $148.19 / $148.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $260.00 / $670.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $370.74 / $622.45