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West Virginia rates for HCPCS 47715

Excision Choledochal Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.95 / $1,365.95 / $2,079.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.26 / $1,332.95 / $1,630.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.70 / $1,610.16 / $1,754.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.96 / $1,559.38 / $1,559.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.73 / $1,513.73 / $1,513.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.50 / $1,815.30 / $3,774.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.58 / $1,403.44 / $2,158.46