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West Virginia rates for HCPCS 49040

Drainage Subdiaphragmatic/Subphren Abscess Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.80 / $1,029.80 / $1,568.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.25 / $1,214.44 / $1,323.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.67 / $1,141.67 / $1,141.67