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West Virginia rates for HCPCS L8628

Cochlear Implant, Extern Controller Component, Replace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.72 / $717.72 / $717.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.45 / $717.72 / $771.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $1,975.94 / $2,561.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.38 / $1,051.08 / $1,801.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.35 / $843.35 / $1,759.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.85 / $843.35 / $7,226.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.61 / $1,529.61 / $1,529.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.21 / $1,014.28 / $1,217.02