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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
$494.62 / $494.62 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.71 / $623.65 / $679.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.85 / $604.85 / $604.85
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$59.84 / $59.84 / $59.84