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West Virginia rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.54 / $3,163.42 / $5,628.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,242.08 / $9,875.64 / $11,257.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.20 / $400.45 / $506.62
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$600.67 / $608.41 / $624.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.27 / $216.32 / $297.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.80 / $606.08 / $878.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $326.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.33 / $454.56 / $899.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.77 / $3,176.23 / $6,858.85
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,061.58 / $8,207.98 / $10,520.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.45 / $576.61 / $793.57