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West Virginia rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.56 / $785.56 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.30 / $785.56 / $945.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.06 / $931.98 / $1,015.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.21 / $902.58 / $902.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.60 / $876.60 / $876.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.29 / $1,031.33 / $2,076.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.72 / $876.91 / $1,232.21