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West Virginia rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,540.25 / $1,540.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.45 / $1,585.06 / $1,781.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.93 / $1,915.00 / $2,086.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.59 / $1,854.59 / $1,854.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.96 / $1,794.96 / $1,794.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.06 / $2,293.60 / $8,938.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.39 / $1,683.86 / $2,550.67