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Small Intestine Surgery for a Birth Defect

West Virginia rates for HCPCS 44126

A surgery, usually performed in a newborn or infant, that removes a segment of small intestine that failed to properly form a passageway during development and reconnects the healthy ends together. This version treats a single affected area and does not include narrowing the wider segment of bowel above the defect to help it function better. It is used to restore a continuous, working intestinal passage in infants born with this type of intestinal blockage.

Rates data updated July 2026.

How much does Small Intestine Surgery for a Birth Defect cost?

$2,570

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $2,570 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,570$2,291 to $2,884
FacilityA hospital or hospital-owned outpatient department$2,570$2,570 to $2,570

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,413 to $4,074Professionalmedian $2,570 · 10th to 90th $2,138 to $3,467
$50$200$1K$5Kfacility $2,570professional $2,570

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,162.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,235.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,388.44
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$3,981.07

Where West Virginia sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 50th of 51

$2,570

MN $5,623KY $2,455

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.