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West Virginia rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $18.14 / $26.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $26.85 / $59.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $27.24 / $35.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $38.47 / $60.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $33.67 / $33.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $116.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $23.78 / $26.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $31.89 / $46.02