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West Virginia rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.23 / $1,160.23 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.39 / $1,223.83 / $1,394.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.70 / $1,449.70 / $1,579.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.98 / $1,403.98 / $1,403.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.14 / $1,397.14 / $1,397.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.23 / $1,754.97 / $7,308.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.89 / $1,471.88 / $2,172.77