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West Virginia rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.04 / $446.04 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.34 / $467.46 / $537.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.05 / $555.49 / $605.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.97 / $537.97 / $537.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.28 / $534.28 / $534.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.71 / $678.54 / $2,853.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.84 / $556.35 / $849.51