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West Virginia rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.68 / $291.76 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.68 / $453.13 / $684.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.45 / $305.77 / $333.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.94 / $296.12 / $355.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.32 / $451.32 / $451.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.99 / $588.28 / $1,646.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.30 / $473.30 / $473.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.77 / $548.98 / $1,004.96