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West Virginia rates for HCPCS 52315

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.14 / $433.45 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.14 / $421.26 / $516.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.56 / $321.89 / $350.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.74 / $311.74 / $311.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.31 / $464.31 / $464.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.73 / $563.50 / $1,269.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.94 / $500.52 / $1,084.44