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West Virginia rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $1,995.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58