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West Virginia rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $812.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,071.52