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West Virginia rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.08 / $25.08 / $53.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $47.84 / $54.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.12 / $30.35 / $33.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $29.39 / $29.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.48 / $43.48 / $43.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $66.84 / $120.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.62 / $125.62 / $125.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $74.48 / $115.31