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West Virginia rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.62 / $883.62 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.66 / $931.61 / $1,062.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.11 / $1,102.93 / $1,201.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.14 / $1,068.14 / $1,068.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.55 / $1,063.55 / $1,063.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.92 / $1,335.18 / $5,738.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.73 / $1,246.17 / $1,672.23