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West Virginia rates for HCPCS 67120

Rmvl Implnt Matl Posterior Segment Extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.42 / $663.05 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.95 / $618.32 / $673.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.31 / $912.31 / $912.31