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West Virginia rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.08 / $117.03 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.08 / $111.28 / $134.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.65 / $115.38 / $125.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.73 / $111.73 / $111.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.21 / $166.21 / $166.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.05 / $163.15 / $452.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.88 / $681.88 / $681.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $157.61 / $231.86