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West Virginia rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,571.23 / $2,395.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.70 / $1,571.23 / $1,880.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.43 / $1,854.80 / $2,020.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.64 / $1,796.30 / $1,796.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.15 / $1,739.15 / $1,739.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.21 / $2,073.76 / $4,339.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.68 / $1,640.44 / $2,625.01