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West Virginia rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.87 / $4,716.92 / $7,228.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $345.59 / $3,856.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.06 / $174.06 / $209.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.11 / $279.11 / $279.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $765.51 / $9,321.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,239.17 / $4,304.54 / $18,945.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,170.42 / $4,048.18 / $7,149.13