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West Virginia rates for HCPCS 52356

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,421.76 / $10,433.06 / $22,081.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,216.88 / $21,561.72 / $22,619.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.82 / $874.47 / $893.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.00 / $531.90 / $650.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.80 / $904.00 / $913.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.50 / $469.50 / $469.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.35 / $645.32 / $1,920.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,665.25 / $18,307.55 / $25,885.45
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,269.66 / $20,061.89 / $23,529.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.01 / $455.01 / $455.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.58 / $524.59 / $777.61