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West Virginia rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.44 / $1,400.00 / $8,468.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.79 / $286.64 / $328.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.93 / $340.00 / $370.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.28 / $329.28 / $329.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.50 / $327.50 / $327.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.83 / $415.81 / $1,713.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.30 / $353.39 / $530.26