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West Virginia rates for HCPCS 44604

Sutr Lg Intestine 1/Mult Perforat W/O Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.23 / $1,078.23 / $1,643.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.40 / $1,273.14 / $1,387.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.82 / $1,199.82 / $1,199.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.55 / $117.55 / $117.55