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West Virginia rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.21 / $1,387.21 / $2,107.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.86 / $1,631.74 / $1,777.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.80 / $1,540.80 / $1,540.80