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West Virginia rates for HCPCS 53405

Urethroplasty; second stage (formation of urethra), including urinary diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.21 / $822.21 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.16 / $869.40 / $991.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.88 / $1,028.70 / $1,120.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.25 / $996.25 / $996.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.26 / $992.26 / $992.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.67 / $1,245.32 / $5,299.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.94 / $974.80 / $1,558.90