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West Virginia rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.40 / $2,468.40 / $2,468.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.40 / $2,904.44 / $3,491.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.96 / $231.49 / $349.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.55 / $43.55 / $43.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.32 / $285.32 / $6,226.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.99 / $351.19 / $1,195.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.10 / $603.02 / $3,380.64