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West Virginia rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.89 / $262.89 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.22 / $327.96 / $357.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.97 / $315.97 / $315.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,783.66 / $5,783.66 / $5,783.66