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West Virginia rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $3,776.94 / $51,307.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.34 / $727.38 / $792.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.10 / $703.10 / $703.10
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.31 / $69.31 / $69.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,224.46 / $10,176.01 / $20,995.00