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West Virginia rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.48 / $1,097.48 / $1,097.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.18 / $180.18 / $193.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.84 / $490.06 / $643.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.84 / $257.20 / $435.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $425.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $274.27 / $1,612.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.49 / $220.46 / $305.52