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West Virginia rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,870.74 / $6,870.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $599.37 / $998.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.38 / $667.80 / $727.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.54 / $612.15 / $723.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.08 / $671.08 / $671.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.84 / $721.15 / $3,413.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.78 / $618.61 / $862.32