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West Virginia rates for HCPCS 61797

Strtctc Radiosurgery Ea Addl Cranial Les Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.12 / $209.12 / $209.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.26 / $209.12 / $250.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.97 / $274.61 / $299.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.94 / $265.94 / $265.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.39 / $250.39 / $250.39
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$24.61 / $24.61 / $24.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.87 / $322.58 / $1,030.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.40 / $506.40 / $506.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.58 / $239.35 / $359.94