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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
$446.68 / $446.68 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $891.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $831.76