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West Virginia rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.20 / $501.20 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.78 / $524.99 / $604.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.22 / $624.72 / $680.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.02 / $605.02 / $605.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.11 / $600.11 / $600.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.11 / $778.31 / $3,220.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $667.02 / $965.09