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West Virginia rates for HCPCS 69745

Sutr Nrv Itprl W/Wo Grf/Dcmprn Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.00 / $1,209.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.15 / $1,209.00 / $1,383.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.02 / $1,420.24 / $1,547.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.44 / $1,375.44 / $1,375.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.76 / $1,391.76 / $1,391.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.38 / $1,719.30 / $6,715.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.72 / $1,695.29 / $2,155.53