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West Virginia rates for HCPCS 50557

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $389.05 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $645.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $446.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $741.31