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West Virginia rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.11 / $2,040.74 / $2,040.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $79.81 / $210.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $31.32 / $43.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $27.84 / $27.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $41.84 / $41.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $50.84 / $403.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.58 / $1,633.58 / $3,752.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $185.06 / $396.56