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West Virginia rates for HCPCS 50575

Rnl Ndsc Nfrot/Plot W/Endopyelotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.08 / $674.08 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.69 / $704.70 / $811.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.18 / $838.63 / $913.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.18 / $812.18 / $812.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.64 / $805.64 / $805.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.13 / $1,033.18 / $4,338.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.80 / $808.99 / $1,284.83