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West Virginia rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,701.09 / $1,701.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.19 / $1,788.21 / $2,045.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.67 / $2,120.30 / $2,310.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.42 / $2,053.42 / $2,053.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.54 / $2,042.54 / $2,042.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.02 / $2,566.79 / $10,932.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.76 / $2,054.98 / $3,156.22