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West Virginia rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $2,570.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$89.13 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $14,125.38