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West Virginia rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.54 / $1,081.54 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.68 / $1,140.28 / $1,298.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.59 / $1,350.22 / $1,471.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.63 / $1,307.63 / $1,307.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.96 / $1,301.96 / $1,301.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.58 / $1,634.54 / $6,992.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.98 / $1,342.60 / $2,027.02