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West Virginia rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,976.95 / $3,019.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.63 / $2,338.61 / $2,547.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.30 / $2,193.30 / $2,193.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,079.27 / $55,079.27 / $55,079.27