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West Virginia rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.86 / $752.86 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.69 / $944.16 / $1,028.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.18 / $909.18 / $909.18