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West Virginia rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.75 / $897.75 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.97 / $1,009.87 / $1,100.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.43 / $1,000.43 / $1,000.43
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.92 / $99.92 / $99.92