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West Virginia rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.91 / $765.91 / $3,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.76 / $774.87 / $860.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.89 / $891.78 / $971.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.65 / $863.65 / $863.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.52 / $859.52 / $859.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.10 / $1,089.66 / $4,335.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.05 / $2,373.05 / $2,373.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.39 / $895.49 / $1,375.18