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West Virginia rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.22 / $114.06 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $75.18 / $145.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.06 / $58.22 / $85.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.39 / $56.39 / $56.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $85.08 / $85.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.23 / $133.91 / $304.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.64 / $236.04 / $597.10