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Stomach Procedure With No Standard Listing

West Virginia rates for HCPCS 43999

Covers an operation or procedure on the stomach that does not match any of the standard named services, typically because the technique is new, rare, or performed in an unusual way. A written report describing exactly what was done accompanies it. It is not a specific operation in itself, but a placeholder for stomach surgery that has no established description.

Rates data updated July 2026.

How much does Stomach Procedure With No Standard Listing cost?

$1,230

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,230 to $1,413.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,230 · 10th to 90th $309 to $2,512Professionalmedian $120 · 10th to 90th $120 to $120
$50$200$1K$5Kfacility $1,230professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$6,165.95
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,584.89
Typical High
$2,511.89

Where West Virginia sits

The same service costs 58.9 times more in Wisconsin than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 41st of 50

$1,230

WI $5,888ND $100

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.