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West Virginia rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.35 / $90.35 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.71 / $110.66 / $120.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.61 / $106.61 / $106.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.77 / $1,718.77 / $1,718.77