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West Virginia rates for HCPCS 67975

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,122.02