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West Virginia rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.84 / $1,023.71 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.89 / $295.64 / $322.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.97 / $427.97 / $427.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.58 / $4,889.78 / $5,537.06