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West Virginia rates for HCPCS 88309

Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection

Facilitymedian $126 · 10th–90th $38–$2510%20%40%10th90th$126Professionalmedian $295 · 10th–90th $112–$4470%20%10th90th$295$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
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $338.84 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $295.12 / $588.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $218.78 / $275.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $380.19 / $891.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $177.83 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $524.81 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $194.98 / $645.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $346.74 / $1,348.96
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $177.83 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $97.72 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $141.25 / $302.00