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West Virginia rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.40 / $890.40 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.82 / $939.43 / $1,069.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.11 / $1,113.13 / $1,212.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.02 / $1,078.02 / $1,078.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.51 / $1,072.51 / $1,072.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.96 / $1,350.16 / $5,763.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.75 / $1,118.00 / $1,798.47