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West Virginia rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.75 / $70.75 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.62 / $76.36 / $88.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.15 / $90.28 / $98.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $87.43 / $87.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.41 / $87.41 / $87.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $113.39 / $655.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.62 / $99.14 / $170.03