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West Virginia rates for HCPCS 44640

Closure of intestinal cutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58