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West Virginia rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.34 / $26.34 / $26.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $128.04 / $137.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.64 / $26.22 / $56.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.93 / $104.00 / $110.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $30.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.72 / $157.21 / $604.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.83 / $38.83 / $126.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.59 / $122.62 / $480.22
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.28 / $68.28 / $68.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.89 / $133.29 / $250.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.14 / $33.15 / $64.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.02 / $110.34 / $179.53