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West Virginia rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.41 / $16,986.74 / $16,986.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.67 / $493.24 / $1,010.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.79 / $556.29 / $606.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.75 / $538.75 / $538.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.08 / $535.08 / $535.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.37 / $682.41 / $2,849.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,145.72 / $11,159.79 / $19,675.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.71 / $571.94 / $849.90