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West Virginia rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.89 / $926.89 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.39 / $977.69 / $1,115.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.88 / $1,156.43 / $1,259.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.95 / $1,119.95 / $1,119.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.06 / $1,116.06 / $1,116.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.18 / $1,399.94 / $5,978.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.78 / $1,243.39 / $1,732.26