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West Virginia rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Facilitymedian $123 · 10th–90th $112–$2090%50%10th90th$123Professionalmedian $123 · 10th–90th $87–$1700%20%40%10th90th$123$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $123.03 / $158.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $95.50 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $173.78 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $134.90 / $229.09