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West Virginia rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.81 / $1,194.81 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.19 / $1,233.28 / $1,382.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.85 / $1,486.82 / $1,619.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.93 / $1,439.93 / $1,439.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.27 / $1,396.27 / $1,396.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.27 / $1,799.90 / $6,536.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.67 / $1,402.05 / $1,980.10