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West Virginia rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $218.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $162.18 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $204.17