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West Virginia rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,786.98 / $2,713.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.57 / $1,786.98 / $2,137.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.82 / $2,101.23 / $2,289.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.10 / $2,034.96 / $2,034.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.88 / $1,974.88 / $1,974.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.25 / $2,374.12 / $4,790.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.31 / $1,996.59 / $2,824.33