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West Virginia rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.29 / $228.29 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.05 / $309.55 / $337.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $283.50 / $283.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00