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West Virginia rates for HCPCS 53431

Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.16 / $1,087.16 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.08 / $1,146.19 / $1,309.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.83 / $1,357.07 / $1,478.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.26 / $1,314.26 / $1,314.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.67 / $1,308.67 / $1,308.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.43 / $1,642.83 / $6,446.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.13 / $1,339.38 / $2,043.54