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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
$623.86 / $623.86 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.04 / $623.86 / $752.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.94 / $739.90 / $806.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.62 / $716.56 / $716.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.07 / $697.07 / $697.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.23 / $827.22 / $1,702.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.70 / $703.30 / $1,048.58