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West Virginia rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.16 / $408.41 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.16 / $394.47 / $456.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $336.37 / $366.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.76 / $325.76 / $325.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.41 / $485.41 / $485.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.76 / $507.41 / $1,326.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.63 / $564.47 / $952.42