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West Virginia rates for HCPCS 45800

Closure of rectovesical fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.15 / $1,303.15 / $1,985.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.82 / $1,271.69 / $1,562.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.29 / $1,537.31 / $1,674.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.72 / $1,488.82 / $1,488.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.76 / $1,443.76 / $1,443.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.68 / $1,670.77 / $3,371.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.66 / $1,339.93 / $1,996.47