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West Virginia rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.03 / $4,032.60 / $5,404.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.41 / $317.69 / $388.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.73 / $336.40 / $366.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.79 / $325.79 / $325.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.23 / $490.23 / $490.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.70 / $467.72 / $1,348.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.69 / $517.45 / $850.88