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West Virginia rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.15 / $148.53 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.15 / $109.01 / $157.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.03 / $84.42 / $91.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $81.76 / $81.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.92 / $121.92 / $121.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $170.76 / $333.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,618.16 / $10,618.16 / $10,618.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.74 / $155.66 / $273.49