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West Virginia rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.49 / $694.49 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.52 / $698.08 / $830.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.42 / $824.10 / $897.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.11 / $798.11 / $798.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.25 / $796.25 / $796.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.49 / $997.63 / $4,647.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.53 / $822.98 / $1,379.84