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West Virginia rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.70 / $420.10 / $476.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.42 / $494.10 / $538.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.51 / $478.51 / $478.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.73 / $478.73 / $478.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.47 / $653.41 / $3,301.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.10 / $549.76 / $799.35