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West Virginia rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.22 / $69.54 / $69.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.84 / $187.43 / $430.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.83 / $71.18 / $129.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.21 / $130.01 / $359.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.45 / $67.45 / $67.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.24 / $368.13 / $1,439.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.21 / $95.87 / $325.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.03 / $283.69 / $1,074.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.74 / $339.03 / $714.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.18 / $89.94 / $148.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.52 / $252.91 / $640.21