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West Virginia rates for HCPCS 50555

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.08 / $384.07 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.15 / $401.15 / $437.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.20 / $578.20 / $578.20