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West Virginia rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $234 · 10th–90th $39–$6170%5%10th90th$234Professionalmedian $31 · 10th–90th $11–$710%20%10th90th$31$2.0$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $416.87 / $758.58
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $245.47 / $245.47
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $154.88 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $38.02
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $30.90 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $22.91 / $28.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $35.48 / $53.70
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $38.02 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.69 / $12.59 / $17.78
Cigna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $54.95 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $63.10 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $15.85 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $44.67 / $162.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $14.45 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $43.65 / $97.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.31 / $7.94 / $23.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $33.11 / $57.54