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West Virginia rates for HCPCS 50434

Convert nephrostomy catheter to 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, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $812.83 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $323.59 / $323.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $5,888.44