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West Virginia rates for HCPCS 50690

Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.29 / $108.48 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.29 / $94.79 / $133.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.15 / $81.77 / $119.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.19 / $79.19 / $79.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.90 / $118.90 / $118.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $147.82 / $328.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.87 / $162.26 / $632.32