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West Virginia rates for HCPCS 52400

Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.81 / $449.81 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.56 / $561.74 / $612.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.75 / $542.75 / $542.75