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West Virginia rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.19 / $1,398.19 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.41 / $1,398.19 / $2,234.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.66 / $1,395.18 / $1,520.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.22 / $1,278.92 / $1,511.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.85 / $1,414.85 / $1,414.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.10 / $1,463.77 / $6,992.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.43 / $1,209.09 / $1,801.57