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West Virginia rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.38 / $663.38 / $3,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.91 / $672.93 / $748.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.57 / $773.17 / $842.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.79 / $748.79 / $748.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.16 / $746.16 / $746.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.89 / $935.98 / $4,197.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,357.60 / $16,357.60 / $16,357.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.79 / $760.82 / $1,118.42