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West Virginia rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.11 / $271.11 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.64 / $341.32 / $371.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,789.36 / $3,789.36 / $3,789.36