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West Virginia rates for HCPCS 43887

Gastric restrictive procedure, open; removal of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.19 / $512.51 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.39 / $332.19 / $405.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.91 / $352.91 / $432.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.38 / $384.38 / $384.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $379.05 / $379.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.73 / $443.69 / $889.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $345.95 / $529.52