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West Virginia rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.09 / $336.09 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.77 / $351.68 / $404.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.43 / $417.46 / $454.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.29 / $404.29 / $404.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.93 / $401.93 / $401.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.72 / $510.47 / $2,130.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.49 / $1,187.49 / $1,187.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $2,450.00 / $2,450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.74 / $422.35 / $716.35