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West Virginia rates for HCPCS L8042

Orbital Prosthesis Provided By A Non-Physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.40 / $1,994.40 / $1,994.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.40 / $1,994.40 / $2,145.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.29 / $3,253.80 / $6,100.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.50 / $2,643.71 / $3,660.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,656.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $3,214.74 / $19,482.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.11 / $2,520.98 / $3,183.31