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West Virginia rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $1,347.00 / $2,051.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.94 / $1,347.00 / $1,611.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.54 / $1,588.82 / $1,731.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.41 / $1,538.71 / $1,538.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.16 / $1,489.16 / $1,489.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.34 / $1,769.90 / $3,702.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.81 / $1,490.67 / $2,123.58