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West Virginia rates for HCPCS 50770

Transureteroureterostomy, anastomosis of ureter to contralateral ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.06 / $1,087.06 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.86 / $1,146.31 / $1,308.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.03 / $1,357.28 / $1,478.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.48 / $1,314.48 / $1,314.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.88 / $1,308.88 / $1,308.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.45 / $1,643.10 / $6,895.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.16 / $1,341.35 / $1,980.09