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West Virginia rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,339.19 / $3,568.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.98 / $2,763.30 / $3,010.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,589.94 / $2,589.94 / $2,589.94