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West Virginia rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.76 / $2,233.76 / $2,233.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.76 / $2,233.76 / $2,402.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.28 / $3,644.30 / $6,833.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.00 / $2,961.00 / $4,099.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $5,214.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,600.52 / $21,820.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.63 / $2,823.50 / $3,787.71