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West Virginia rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.05 / $962.05 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.57 / $962.05 / $1,695.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.55 / $1,057.33 / $1,151.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.99 / $969.23 / $1,145.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.96 / $1,075.96 / $1,075.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.42 / $1,109.32 / $4,735.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.59 / $919.33 / $1,345.92