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West Virginia rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.95 / $1,221.95 / $1,221.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.95 / $1,461.29 / $1,734.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $207.59 / $313.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $62.39 / $62.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.62 / $279.62 / $3,109.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.11 / $341.37 / $1,169.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.53 / $579.88 / $2,549.96