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West Virginia rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.38 / $22.38 / $22.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.13 / $179.60 / $179.60
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.91 / $25.91 / $25.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.46 / $215.81 / $840.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $158.77 / $303.00