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West Virginia rates for HCPCS 50976

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.50 / $439.50 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.27 / $461.09 / $530.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.24 / $547.84 / $596.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.55 / $530.55 / $530.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.97 / $526.97 / $526.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.58 / $668.79 / $2,809.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.03 / $527.23 / $836.92