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West Virginia rates for HCPCS 52007

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.25 / $410.65 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.76 / $195.43 / $212.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.83 / $281.83 / $281.83