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West Virginia rates for HCPCS 50574

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.91 / $532.91 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.29 / $557.98 / $642.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $663.79 / $723.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.86 / $642.86 / $642.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.85 / $637.85 / $637.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.88 / $815.75 / $3,448.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.05 / $705.71 / $1,017.70