medical college in Gujarat with cutoff 440 and fees 3-4 lakh per year

Shubham, Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, top NEET score and difficulty of the exam. So what might have got a seat last year would not be the same this year. You haven't mentioned the Category you belong to. If you belong to General Category, with this score, you might get a seat in Private Medical College under Management Quota and the fees here would be atleast 10 lakhs per year. This might be the same case going by previous years cut offs at: https://medicine.careers360.com/articles/neet-cutoff-gujarat#Gujarat-NEET-cutoff-2019-for-85-State-Quota-seats . But there are few Medical Colleges that you still can get a seat in a GMC but again as mentioned, the cut offs change every year. With GMCs, the fees will be less than 1 lakh per year.