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West Virginia rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.50 / $1,400.00 / $11,561.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.61 / $378.24 / $412.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.62 / $366.62 / $366.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,304.54 / $8,431.56 / $13,979.90