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West Virginia rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.47 / $1,524.82 / $3,951.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.16 / $1,180.84 / $1,286.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $1,133.30 / $1,133.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $3,522.00 / $3,522.00