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West Virginia rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,917.70 / $4,447.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.44 / $2,917.70 / $3,489.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,005.51 / $3,444.60 / $3,752.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.64 / $3,335.95 / $3,335.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,227.34 / $3,227.34 / $3,227.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.96 / $3,891.94 / $8,294.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.15 / $2,927.03 / $4,447.93