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West Virginia rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.62 / $1,316.62 / $2,027.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.64 / $1,570.50 / $1,711.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $1,471.00 / $1,471.00