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West Virginia rates for HCPCS 38573

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.86 / $1,400.00 / $3,050.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.17 / $1,401.52 / $1,526.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.50 / $1,340.50 / $1,340.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,694.60 / $43,694.60 / $62,702.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00