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West Virginia rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.66 / $894.66 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.44 / $944.93 / $1,077.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.45 / $1,118.58 / $1,218.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.31 / $1,083.31 / $1,083.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.61 / $1,078.61 / $1,078.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.55 / $1,354.14 / $5,717.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.44 / $1,060.73 / $1,673.66