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West Virginia rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.66 / $490.66 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.17 / $490.66 / $867.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.30 / $555.41 / $605.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.40 / $509.12 / $601.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.64 / $553.64 / $553.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.03 / $582.71 / $2,668.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,278.75 / $11,278.75 / $11,278.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.80 / $480.60 / $717.18