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West Virginia rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.20 / $851.20 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.33 / $898.71 / $1,023.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.84 / $1,063.49 / $1,158.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.95 / $1,029.95 / $1,029.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.95 / $1,025.95 / $1,025.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.92 / $1,287.44 / $5,440.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.91 / $1,056.44 / $1,600.67