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West Virginia rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.78 / $572.78 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.41 / $599.73 / $690.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.28 / $712.63 / $776.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.16 / $690.16 / $690.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.57 / $685.57 / $685.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.82 / $876.73 / $3,683.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.72 / $805.18 / $1,094.82